Richard presented with excellent participation throughout the session. He started with a fine motor strengthening and coordination activity using a chip clip to pick up 25 small items hidden throughout the room, demonstrating good visual scanning and fixation to locate all 25 items. Richard then worked on core and upper extremity strengthening while completing supine flexion ball kicks and prone extension ball throws, 20 each. Noted an improvement in the ATNR reflex integration while engaged in gross motor activities.