#  Handwriting

##  Handwriting

## Does Reflex Integration Support Handwriting?

Therapists and parents have seen positive outcomes for [handwriting](https://moveplaythrive.com/index.php?Itemid=643 "Help for handwriting and fine motor challenges with primitive reflex integration") in children and adults who receive primitive and postural reflex integration, particularly in the areas of:

- Legibility: letter formation, orientation, sizing, and spacing
- Use of tripod grasp
- Hand dominance, strength, and stamina
- Visual-motor integration such as eye-hand coordination, spatial-awareness, and crossing midline

*All case studies are written by students of the [Brain and Sensory Foundations First Level course](https://moveplaythrive.com/index.php?Itemid=362 "Training in primitive reflex integration and rhythmic movements").*

    [ ![Smiling boy writing. 8-year-old: better legibility, no longer avoids writing tasks](https://moveplaythrive.com/images/2023_Case_Studies/CS_CaSz_L.webp) ](https://moveplaythrive.com/evidence/case-studies/boy-with-adhd-benefits-from-reflex-integration)

###  [ Boy with ADHD Benefits from Reflex Integration ](https://moveplaythrive.com/evidence/case-studies/boy-with-adhd-benefits-from-reflex-integration)

   [ ![Before and After handwriting samples. The Before version shows character of varying size and weight, and several characters are backward. The After photo shows tidy printing of uniform size and weight, with all characters oriented correctly. Text: 10-year-old no longer complaiing about writing! Improvements after 8 sessions.](https://moveplaythrive.com/images/2023_Case_Studies/CS_MO_R.webp) ](https://moveplaythrive.com/evidence/case-studies/writing-is-more-comfortable-and-accurate-with-reflex-integration)

###  [ Writing Is More Comfortable and Accurate with Reflex Integration ](https://moveplaythrive.com/evidence/case-studies/writing-is-more-comfortable-and-accurate-with-reflex-integration)

   [ ![5-year-old boy looking up from his writing. Text: Teacher reports he is noticeably calmer](https://moveplaythrive.com/images/2023_Case_Studies/CS_CaSz_N.webp) ](https://moveplaythrive.com/evidence/case-studies/neurodevelopmental-movements-reduce-hyperactivity-and-meltdowns)

###  [ Neurodevelopmental Movements Reduce Hyperactivity and Meltdowns ](https://moveplaythrive.com/evidence/case-studies/neurodevelopmental-movements-reduce-hyperactivity-and-meltdowns)

   [ ![Looking over the should of a young boy writing. Text: Handwriting, posture, and visual tracking: Huge changes in 12 weeks!](https://moveplaythrive.com/images/2023_Case_Studies/CS_ChWo_PK.webp) ](https://moveplaythrive.com/evidence/case-studies/writing-legibility-improves-after-reflex-integration)

###  [ Writing Legibility Improves After Reflex Integration ](https://moveplaythrive.com/evidence/case-studies/writing-legibility-improves-after-reflex-integration)

   [ ![Young adult man biting his nails. Text: Goal-setting tool helps young man shed life-long anxious habit—in one month!](https://moveplaythrive.com/images/2023_Case_Studies/CS_JeDu_A.webp) ](https://moveplaythrive.com/evidence/case-studies/nail-biting-stops-after-neurodevelopmental-movements)

###  [ Nail Biting Stops after Neurodevelopmental Movements ](https://moveplaythrive.com/evidence/case-studies/nail-biting-stops-after-neurodevelopmental-movements)

   [ ![Smiling young girl reading a book in class. Text: In 6 weeks, girl goes from avoiding reading to enjoying it.](https://moveplaythrive.com/images/2023_Case_Studies/CS_ClCl_A.webp) ](https://moveplaythrive.com/evidence/case-studies/reading-writing-and-regulation-improve-with-reflex-integration)

###  [ Reading, Writing, and Regulation Improve with Reflex Integration ](https://moveplaythrive.com/evidence/case-studies/reading-writing-and-regulation-improve-with-reflex-integration)

   [ ![Preteen boy happily running. Text: After reflex integration, boy says: "I feel like I can run forever"](https://moveplaythrive.com/images/2023_Case_Studies/CS_CrMi_A3.webp) ](https://moveplaythrive.com/evidence/case-studies/reflex-integration-helps-preteen-with-low-muscle-tone)

###  [ Reflex Integration Helps Preteen with Low Muscle Tone ](https://moveplaythrive.com/evidence/case-studies/reflex-integration-helps-preteen-with-low-muscle-tone)

   [ ![Boy focused on homework. Text: No more handwriting fatigue.](https://moveplaythrive.com/images/2023_Case_Studies/CS_NiLe_B.webp) ](https://moveplaythrive.com/evidence/case-studies/7-year-old-integrates-reflexes-and-becomes-proud-of-handwriting)

###  [ 7-Year-Old Integrates Reflexes and Becomes Proud of Handwriting ](https://moveplaythrive.com/evidence/case-studies/7-year-old-integrates-reflexes-and-becomes-proud-of-handwriting)

   [ ![Smiling boy writing at desk. Text: OT uses neurodevelopmental movements to help client with ASD](https://moveplaythrive.com/images/2023_Case_Studies/CS_NiLe_H.webp) ](https://moveplaythrive.com/evidence/case-studies/better-writing-focus-and-regulation-after-reflex-integration)

###  [ Better Writing, Focus, and Regulation after Reflex Integration ](https://moveplaythrive.com/evidence/case-studies/better-writing-focus-and-regulation-after-reflex-integration)

   [ ![Young boy on a bike ride with his family. Text: Better transitions and motor skills, less soiling](https://moveplaythrive.com/images/2023_Case_Studies/CS_MeEl_E.webp) ](https://moveplaythrive.com/evidence/case-studies/reflex-integration-improves-handwriting-sleep-and-toileting)

###  [ Reflex Integration Improves Handwriting, Sleep, and Toileting ](https://moveplaythrive.com/evidence/case-studies/reflex-integration-improves-handwriting-sleep-and-toileting)

   [ ![Boy writing while conversing with teacher. Text: Big changes in speech and handwriting.](https://moveplaythrive.com/images/2023_Case_Studies/CS_TiPa_L.webp) ](https://moveplaythrive.com/evidence/case-studies/stuttering-decreases-handwriting-improves-after-innate-movements)

###  [ Stuttering Decreases, Handwriting Improves After Innate Movements ](https://moveplaythrive.com/evidence/case-studies/stuttering-decreases-handwriting-improves-after-innate-movements)

   [ ![Boy throwing a baseball. Text: Improvements with emotional regulation and gross motor skills.](https://moveplaythrive.com/images/2023_Case_Studies/CS_SP_A.webp) ](https://moveplaythrive.com/evidence/case-studies/tremendous-changes-in-boy-with-sensory-and-emotional-issues)

###  [ “Tremendous Changes” in Boy with Sensory and Emotional Issues ](https://moveplaythrive.com/evidence/case-studies/tremendous-changes-in-boy-with-sensory-and-emotional-issues)

   [ ![ Before and after illustration showing drawing improvements. Text: Now also reading aloud in class!](https://moveplaythrive.com/images/2023_Case_Studies/CS_NinGa_SM.webp) ](https://moveplaythrive.com/evidence/case-studies/improvements-for-an-entire-class-reading-speech-handwriting-and-more)

###  [ Improvements for an Entire Class—Reading, Speech, Handwriting, and More! ](https://moveplaythrive.com/evidence/case-studies/improvements-for-an-entire-class-reading-speech-handwriting-and-more)

   [ ![Mom and son hugging. Text: Movement and play fosters a greater connection](https://moveplaythrive.com/images/2023_Case_Studies/CS_LN_ANON2.webp) ](https://moveplaythrive.com/evidence/case-studies/both-mom-and-son-make-progress-on-anxiety-and-sensory-issues)

###  [ Both Mom and Son Make Progress on Anxiety and Sensory Issues ](https://moveplaythrive.com/evidence/case-studies/both-mom-and-son-make-progress-on-anxiety-and-sensory-issues)

   [ ![Bedclothes over a bedwetting accident. Text: 8year-old gets relief from bedwetting, handwriting improvements.](https://moveplaythrive.com/images/2023_Case_Studies/CS_TiSi_Pt.webp) ](https://moveplaythrive.com/evidence/case-studies/bedwetting-fine-motor-skills-and-focus-improve-with-primitive-reflex-integration)

###  [ Bedwetting, Fine Motor Skills, and Focus Improve with Primitive Reflex Integration ](https://moveplaythrive.com/evidence/case-studies/bedwetting-fine-motor-skills-and-focus-improve-with-primitive-reflex-integration)

   [ ![Boy working on homework. Text: Hyperactive boy now calm and engaged in school](https://moveplaythrive.com/images/2023_Case_Studies/CS_ThRa_R.webp) ](https://moveplaythrive.com/evidence/case-studies/adhd-turnaround-huge-progress-with-sleep-academics-social-skills-behavior-and-handwriting)

###  [ ADHD Turnaround—Huge Progress with Sleep, Academics, Social Skills, Behavior, and Handwriting ](https://moveplaythrive.com/evidence/case-studies/adhd-turnaround-huge-progress-with-sleep-academics-social-skills-behavior-and-handwriting)

   [ ![small girl approaching a goat. Text: Feeding Farm Animals Independently.](https://moveplaythrive.com/images/2023_Case_Studies/CS_MaP_S.webp) ](https://moveplaythrive.com/evidence/case-studies/girl-reaches-goal-of-feeding-rabbits-after-only-six-sessions-of-the-five-step-balance-process)

###  [ Girl Reaches Goal of Feeding Rabbits After Only 6 Sessions of the 5-Step Balance Process ](https://moveplaythrive.com/evidence/case-studies/girl-reaches-goal-of-feeding-rabbits-after-only-six-sessions-of-the-five-step-balance-process)

   [ ![ Boy vacuuming. Text: Boy has no more fear of vacuum noise.](https://moveplaythrive.com/images/2023_Case_Studies/CS_TeDa_F.webp) ](https://moveplaythrive.com/evidence/case-studies/extreme-sensitivity-motor-skills-and-social-skills-improve)

###  [ Extreme Sensitivity, Motor Skills, and Social Skills Improve ](https://moveplaythrive.com/evidence/case-studies/extreme-sensitivity-motor-skills-and-social-skills-improve)

   [ ![ Teen girl. Text: Teen girl, phobias and sensitivities diminish](https://moveplaythrive.com/images/2023_Case_Studies/CS_TeDa_R.webp) ](https://moveplaythrive.com/evidence/case-studies/teens-phobias-diminish-after-summer-of-rhythmic-movement)

###  [ Teen's Phobias Diminish After Summer of Rhythmic Movement ](https://moveplaythrive.com/evidence/case-studies/teens-phobias-diminish-after-summer-of-rhythmic-movement)

   [ ![Boy looking into camera. Text: Loving School for the First Time.](https://moveplaythrive.com/images/2023_Case_Studies/CS_JM_B1.webp) ](https://moveplaythrive.com/evidence/case-studies/massive-improvement-in-daily-functioning-for-5-year-old-with-severe-trauma)

###  [ Massive Improvement in Daily Functioning for 5-Year-Old with Severe Trauma ](https://moveplaythrive.com/evidence/case-studies/massive-improvement-in-daily-functioning-for-5-year-old-with-severe-trauma)

   [ ![Before and After examples of drawings with the After version much more detailed and colorful. Text: Results in 1 Session.](https://moveplaythrive.com/images/2023_Case_Studies/CS_ElWi_L.webp) ](https://moveplaythrive.com/evidence/case-studies/ten-year-old-improves-drawing-with-one-session-of-integrated-movement)

###  [ 10-Year-Old Improves Drawing with One Session of Integrated Movement ](https://moveplaythrive.com/evidence/case-studies/ten-year-old-improves-drawing-with-one-session-of-integrated-movement)

   [ ![Young girl on her back, holding a ball with her hands and feet. Text: Core strength, emotional regulation, handwriting, and more—improved!](https://moveplaythrive.com/images/2023_Case_Studies/CS_CD_ANON.webp) ](https://moveplaythrive.com/evidence/case-studies/watch-mommy-i-can-do-a-sit-up)

###  [ “Watch Mommy! I Can Do a Sit Up!!” ](https://moveplaythrive.com/evidence/case-studies/watch-mommy-i-can-do-a-sit-up)

   [ ![Boy using sidewalk chalk. Text: 4-year-old boy: Hyperactivity, compulsive chewing, meltdowns. Gone!](https://moveplaythrive.com/images/2023_Case_Studies/CS_KeKn_J.webp) ](https://moveplaythrive.com/evidence/case-studies/4-yr-old-boy-hyperactivity-compulsive-chewing-meltdowns-gone)

###  [ 4-Year-Old Boy: Hyperactivity, Compulsive Chewing, Meltdowns. Gone! ](https://moveplaythrive.com/evidence/case-studies/4-yr-old-boy-hyperactivity-compulsive-chewing-meltdowns-gone)

   [ ![Girl writing. Text: 32% to 84% in visual sequential memory, 8-year-old girl](https://moveplaythrive.com/images/2023_Case_Studies/CS_SuLa_E.webp) ](https://moveplaythrive.com/evidence/case-studies/struggles-with-visual-memory-hand-eye-coordination-and-writing-all-ease-for-8-yr-old-girl)

###  [ Struggles with Visual Memory, Hand-Eye Coordination, and Writing All Ease for 8-Year-Old Girl ](https://moveplaythrive.com/evidence/case-studies/struggles-with-visual-memory-hand-eye-coordination-and-writing-all-ease-for-8-yr-old-girl)

   [ ![Three young boys chatting and laughing. text: Was barely verbal, now having conversations.](https://moveplaythrive.com/images/2023_Case_Studies/CS_DiJy_ANON2.webp) ](https://moveplaythrive.com/evidence/case-studies/4-year-old-boy-goes-from-not-responding-to-name-to-socializing-talking-learning-and-playing)

###  [ 4-Year-Old Boy Goes From Not Responding to Name to Socializing, Talking, Learning, and Playing ](https://moveplaythrive.com/evidence/case-studies/4-year-old-boy-goes-from-not-responding-to-name-to-socializing-talking-learning-and-playing)

   [ ![Boy and mom laughing together. Text: Parents and OT are "Blown Away" at fast progress for 7 year old boy.](https://moveplaythrive.com/images/2023_Case_Studies/CS_NaGr_J.webp) ](https://moveplaythrive.com/evidence/case-studies/head-slapping-and-thumb-sucking-stop-while-fine-and-gross-motor-skills-improve)

###  [ Head-Slapping and Thumb-Sucking Stop, While Fine and Gross Motor Skills Improve ](https://moveplaythrive.com/evidence/case-studies/head-slapping-and-thumb-sucking-stop-while-fine-and-gross-motor-skills-improve)

   [ ![Boy smiling into camera. text: 13 year old boy with ASD: Mom sees huge improvements in 14 weeks. ](https://moveplaythrive.com/images/2023_Case_Studies/CS_LT_S.webp) ](https://moveplaythrive.com/evidence/case-studies/young-teen-with-asd-and-spd-more-regulation-more-speech-more-stamina-more-fun)

###  [ Young Teen with ASD and SPD: More Regulation, More Speech, More Stamina, More Fun ](https://moveplaythrive.com/evidence/case-studies/young-teen-with-asd-and-spd-more-regulation-more-speech-more-stamina-more-fun)

   [ ![Close-up of a child's hands writing on paper. Text: Mom in tears about her boy's improvement. Links to a case study titled, Skeptical OT Convinced by “Profound Success” in Short Time Frame](https://moveplaythrive.com/images/2023_Case_Studies/CS_JeRi_T.webp) ](https://moveplaythrive.com/evidence/case-studies/skeptical-ot-convinced-by-profound-success-in-short-time-frame)

###  [ Skeptical OT Convinced by “Profound Success” in Short Time Frame ](https://moveplaythrive.com/evidence/case-studies/skeptical-ot-convinced-by-profound-success-in-short-time-frame)

   [ ![Smiling boy. Text: Boy can now write, is discharged from OT.](https://moveplaythrive.com/images/2023_Case_Studies/CS_LiVa_B.webp) ](https://moveplaythrive.com/evidence/case-studies/boy-with-adhd-symptoms-gains-emotional-regulation-focus-great-improvements-at-school)

###  [ Boy with ADHD Symptoms Gains Emotional Regulation, Focus, Great Improvements at School ](https://moveplaythrive.com/evidence/case-studies/boy-with-adhd-symptoms-gains-emotional-regulation-focus-great-improvements-at-school)

   [ ![Boy reading for fun. Text: Boy with PDD — Finally "Being Seen for the Bright Boy that He Is!""](https://moveplaythrive.com/images/2023_Case_Studies/CS_BL_G.webp) ](https://moveplaythrive.com/evidence/case-studies/boy-with-pdd-can-now-focus-and-learn-teachers-and-parents-are-amazed)

###  [ Boy with PDD Can Now Focus and Learn; Teachers and Parents Are Amazed ](https://moveplaythrive.com/evidence/case-studies/boy-with-pdd-can-now-focus-and-learn-teachers-and-parents-are-amazed)

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