Pediatric OT · Brain Development · Brewer, Maine
12 brain-development parenting tips from Dr. Carla Hannaford.
Dr. Carla Hannaford — neurophysiologist, educator, and author of Smart Moves: Why Learning Is Not All in Your Head — changed the way pediatric OTs think about brain development. Here are 12 of her most actionable parenting insights, translated into the home strategies we coach families on every day in our Brewer, Maine clinic.
Earl had the privilege of meeting Dr. Hannaford in person at the RMTi Levels 1 & 2 Conference in Kalispell, Montana in June 2024. Her message has shaped how the Sensory Therapy Place clinical team approaches every child we evaluate.
The 12 tips
1. Movement is essential for learningEncourage active play and movement — physical activity literally builds neural connections. Crawling, climbing, and dancing help integrate primitive reflexes and support cognitive development. Read more on vestibular movement →
2. Emotional security fosters intelligenceA strong parent-child bond, with plenty of affection and emotional attunement, creates the felt-safety that allows the brain to explore and learn.
3. Hydration matters more than parents thinkHydration is critical for brain function. Even mild dehydration can negatively impact focus, mood, and cognitive performance.
4. Touch and connection build resiliencePhysical touch — hugs, deep pressure, gentle rocking — regulates the stress response and supports emotional development. This is the heart of what our weighted blanket and compression vest recommendations are about.
5. Encourage hands-on learningChildren learn best through experiences that engage their senses. Textures, drawing, puzzles, building — each strengthens learning pathways.
6. Limit stress, encourage relaxationChronic stress impairs learning. Teach deep breathing, mindfulness, or Brain Gym® exercises to help children manage emotions and improve focus.
7. Integrate cross-lateral movementsActivities that cross the midline (crawling, skipping, certain yoga poses) improve coordination between brain hemispheres and enhance learning and emotional regulation.
8. Free play over structured learningPlay is how young children naturally learn. Free play fosters creativity, problem-solving, and emotional resilience in ways structured curricula cannot.
9. Be aware of reflex retentionRetained primitive reflexes can interfere with learning and behavior. If a child struggles with attention, coordination, or emotional regulation, reflex integration may be the missing piece. Learn more about retained reflexes →
10. Create a stress-free learning environmentLearning should be engaging and free of excessive pressure. Supporting a child's natural curiosity rather than forcing rote memorization leads to deeper retention.
11. Nature enhances brain developmentNature provides a rich sensory environment that indoor activities cannot. Varied terrain, natural sounds, and fresh air build spatial awareness, problem-solving, and sensory integration.
12. Regulate the vestibular and proprioceptive systemsSwinging, spinning, and balancing build body awareness and coordination — essential foundations for fine motor and gross motor skills. Shop OT-recommended sensory swings →
Practical outdoor time tips
- Make it a daily habit — even 30 minutes outdoors has significant benefits
- Encourage barefoot play — walking on grass, sand, or dirt strengthens foot muscles and improves sensory feedback
- Choose nature over structured playgrounds — climbing trees, exploring trails, and engaging natural elements provide richer sensory experiences
- Incorporate water play — splashing in puddles, mud play, swimming — supports sensory regulation
- Practice mindfulness in nature — quiet sitting, bird-listening, feeling wind — develops self-regulation
Wondering if reflex integration could help your child?
A pediatric OT evaluation at our Brewer clinic screens for retained reflexes and gives you a home plan.
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