Pediatric occupational therapy helps children develop the basic motor skills and sensory awareness needed for motor development, learning, and healthy behavior. These include the following:

  • Primitive reflex integration  (retained automatic movement patterns from early childhood)

  • Body awareness and positioning in space (proprioceptive and vestibular processing)

  • Coordination of movements between the two sides of the body (crossing midline)

  • Fine motor coordination (control and organization)

  • Praxis (motor planning/coordination)

  • Gross motor coordination

  • Ocular motor skills (visual tracking with smooth pursuit, saccadic eye movements, and convergence/divergence)

  • Visual perceptual skills

  • Self-regulation

  • Sensory modulation (reaction to stimulus)


Occupational therapists not only work directly with the child, but also with the parents, family, caregivers, and teachers in order to educate and reinforce specific skills and behaviors which will be used to improve and facilitate the child’s performance and functioning.

Primitive Reflex Integration

Primitive reflexes are automatic movement patterns exhibited by infants. Over time, these movement patterns become integrated and develop into higher level movements. When primitive reflexes are not integrated, a variety of issues can arise.

If you child exhibits any of the following symptoms we recommend an evaluation:

  • Appears clumsy, has poor balance

  • Difficulty with reading and writing

  • Does not cross midline

  • Poor impulse control, easily distracted

  • Sensitive to touch, sound, clothing items

  • Poor eye-hand coordination

  • Appears to be in constant fight or flight mode

Improved Handwriting


Praxis is one's ability to conceptualize, organize, and direct unfamiliar purposeful actions. This is what allows a child to skillfully plan and execute motoric movements in a refined and efficient manner. 

Dyspraxia is observed when a child has difficulty planning and carrying out motor acts with the proper sequence.

Further evaluation is recommended if your child is displays the following traits:

  • Appears clumsy

  • Difficulty sequencing and timing actions of a motor task

  • Slow to learn daily tasks

  • Handwriting difficulties

  • Poor fine motor coordination during play

  • Avoids playing sports or other gross motor activities

Therapeutic Listening

Therapeutic Listening is a research based tool for treating people of all ages who have difficulty with processing sensory information, listening, attention, and communication through the use of individualized musical pieces, selected by our trained therapists based upon the specific needs of the child.

Your child may benefit from Therapeutic Listening if they exhibit:

  • poor attention

  • difficulties interacting with peers and limited play skills

  • challenges with transitions or changes in routine

  • struggles with sleep, bowel and bladder control, and eating

  • trouble following directions

  • challenges perceiving and navigating space

  • poor timing and sequencing of motor skills

  • difficulties with regulating their energy level (i.e. too low arousal or hyperactive)

  • postural insecurity

  • abnormal responses to various sensory stimuli (sounds, touch, taste, pain)

  • poor motor planning

Vestibular Integration through Astronaut Training

The vestibular system allows us understand where our bodies are in space - which way is up, which way is down, if we're moving forward or sitting still, and how quickly our body is moving. It not only helps with balance, but also spatial orientation.

Astronaut Training is a therapeutic protocol that utilizes a combination of rotation, auditory, and visual inputs. Use of this program helps a child to detect where their body is in space and increase balance and coordination in order to properly process vestibular input, in turn helping the child to develop the skills necessary for social and play skills, as well as enhancing learning and memory.



The Handwriting Without Tears program utilizes a developmentally appropriate, multi-sensory handwriting curriculum great for all learning styles! Our therapists utilize the curriculum to not only instruct and remediate letter and number formation, but also teach children body awareness, proper positioning of the writing utensil (pencil grasp), spacing between letters and words, and so much more.

Keyboarding Instruction

Our therapists utilize the Keyboarding Without Tears program which is a web-based curriculum for children in Kindergarten through 5th grade. It that teaches proper positioning for typing, general computer readiness, digital citizenship, and online test prep.

Contact Us

6734 Lone Oak Blvd
Naples, FL 34109



  • Facebook Social Icon
  • Pinterest Social Icon

© 2020 by North Naples Therapy & Enrichment Services, P.A.