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Persistentie van primitieve reflexen en bijbehorende motorische problemen bij gezonde kleuters

Persistence of primitive reflexes and associated motor problems in healthy preschool children

Introduction

Retained primitive reflexes can disturb natural development and involve difficulties in social and educational children’s life. They can also impact on psychomotor development. Mature responses in a child’s psychomotor progress can only occur if the central nervous system itself has reached maturity. The process consist the transition made from brain stem reflex response to cortically controlled response. This study define the occurrence of primitive reflexes in healthy 4–6 years old children and analyze the impact of survived primitive reflexes on psychomotor development.

Material and methods

The study involved 35 participants aged 4–6 years healthy preschool children. The study tools were: primitive reflexes tests by Sally Goddard for children and Motor Proficiency – Test (MOT 4–6 test) in 18 tasks.

Results

Over a half (65%) preschool children had survived the primitive reflexes on the residual level. Eleven percent of them had no retained primitive reflexes. According to the psychomotor ability, 9% of the children were in the category of “altered development”, 29% in “delayed development”, 59% in “normal” and 3% in “very good development”. The greater the severity of the reflex, the motor efficiency was lower (p < 0.05).

Conclusions

It seems reasonable to introduce reflexes integration therapy in children’s with low psychomotor skills. Primitive reflexes routinely tested, can contribute to improved early psychomotor development in children with needs, thus preventing many difficulties which children can encounter within their social and school life.

Citation:

Gieysztor EZ, Choińska AM, Paprocka-Borowicz M. Persistence of primitive reflexes and associated motor problems in healthy preschool children. Arch Med Sci. 2018 Jan;14(1):167-173. doi: 10.5114/aoms.2016.60503. Epub 2016 Jun 13. PMID: 29379547; PMCID: PMC5778413.