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Symmetrical Tonic Neck Reflex (STNR). If retained, some functional difficulties could be poor eye hand coordination, difficulty with copying tasks, or poor balance. The integration exercise is called the stretching cat. The child will start on his hands and knees. He will slowly sit back on his heels, his arms out straight with his forehead touching or close to the floor. Keeping his arms straight, he will move forward back into the starting position while inhaling. After a pause, he will move back into the stretching cat position, making sure to keep his arms straight. Then he will come back up to his hands and knees, pause and then go back into the stretching cat. Repeat this cycle 10-20 times per day.