Background: Attention difficulties can have far-reaching consequences for a child's development. Occupational therapy, based on the premise that retained primitive reflexes might contribute to attention challenges, has emerged as a potential intervention. This systematic review aims to critically evaluate the existing literature on the effectiveness of occupational therapy in enhancing attention among children. Rigorous, well-designed randomized controlled trials (RCT) are essential to establish a more definitive understanding of occupational therapy's efficacy for attention improvement in children. Therefore, a systemic review was conducted to evaluate the association between Attention deficit and retained primitive reflexes in children to gather more information and evidence to reduce the risk of attention deficit in children.

Objectives: This systematic review aims to critically evaluate the existing literature on the effectiveness of Occupational therapy intervention on retained primitive reflex to improve attention among children.

Methods: A systematic literature search was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The search was done on databases (PubMed, Scopus, Research Gate, Web Science, Open-Access) & Google Scholar and the relevant article date 2000 to date 2023. The included articles were Randomized control trials (RCT), Attention problem, Retained primitive reflex, academic achievement, occupational therapy. Articles with least amount of information with these topics, language other than English language and study with no access to full article were being excluded.

Results: The initial search included 131potentially relevant articles out of which 25 studies were excluded as duplicates, 51 studies were excluded as they didn’t meet inclusion and exclusion criteria, 47 articles didn’t mention the intervention protocol and 08 studies were included for review. All the review articles were identified as RCT with total participants of 560 in total.