Understanding Primitive Reflexes: Signs, Impact, and Next Steps

Welcome back to the Koi Wellness blog! I’m Aya Porté, your dedicated occupational therapist, here to continue our journey into the fascinating world of primitive reflexes and how they shape your child's development. In our last post, we explored what primitive reflexes are and why they are so important for early growth. 

Today, we’re diving deeper to understand how these reflexes can affect your child if they don’t integrate properly and what steps you can take to support your child's development.

What Happens When Reflexes Don’t Integrate?

Primitive reflexes are natural, automatic movements that begin developing in the womb and are crucial for a newborn's survival and early growth. These reflexes originate in the brainstem, the most primitive part of the brain, and don’t require any conscious thought. While they are essential in the early months of life, helping babies adapt to the world around them, they are designed to fade away as your child grows and their nervous system matures.

But what happens when these reflexes don’t integrate as expected? When primitive reflexes persist beyond their typical developmental timeline, it can indicate that the central nervous system (CNS) hasn’t matured as it should. This can lead to a range of developmental challenges, including unusual movement patterns, difficulties with everyday tasks, and even emotional regulation issues.

Common Signs of Retained Reflexes

If a primitive reflex doesn’t integrate properly, it can manifest in several ways, impacting your child's ability to function smoothly in everyday activities. Here are some signs to look out for:

  • Clumsiness or Coordination Difficulties: Children with retained reflexes may appear clumsy or uncoordinated, struggling with tasks that require balance and fine motor skills, such as writing, buttoning clothes, or playing sports.

  • Emotional Dysregulation: Unintegrated reflexes can make it hard for children to manage their emotions. They might experience frequent meltdowns, have difficulty calming down, or overreact to seemingly minor events.

  • Difficulty Focusing: Retained reflexes can also affect a child's ability to concentrate and stay focused, especially in busy environments like classrooms. This can lead to academic challenges and difficulty following instructions.

  • Sensory Processing Issues: Since primitive reflexes are closely tied to sensory processing, children with unintegrated reflexes might be overly sensitive or under-responsive to sensory input. This could look like covering their ears at loud noises or seeking out intense sensory experiences.

Why Reflex Integration Matters

Understanding the importance of reflex integration goes beyond knowing these signs. It’s about recognizing the crucial role these early movements play in building the foundation for your child's sensory processing and overall development. Each reflex is connected to specific senses—like touch, vision, and balance—and if these reflexes don’t integrate properly, they can disrupt how your child processes sensory information.

For example, the Moro reflex, which causes a baby to startle in response to a loud noise or sudden movement, is linked to the vestibular (balance) and auditory senses. If this reflex doesn’t fade, it might make a child hypersensitive to sudden noises or movements, leading to anxiety or difficulty concentrating in class.

Factors That Might Contribute to Retained Reflexes

Several factors can contribute to retained primitive reflexes. These can occur during pregnancy, birth, infancy, or even toddlerhood. Some common contributors include:

  • Birth Complications: Cesarean deliveries or traumatic births that bypass the natural triggers for reflex integration, such as the squeezing motion of passing through the birth canal, can lead to retained reflexes.

  • Developmental Motor Delays: Lack of tummy time, limited crawling space, or other delays in motor development can prevent reflexes from integrating properly.

  • Early Injuries or Illnesses: Even if a child is born healthy, early injuries like a head trauma or illnesses such as chronic ear infections can reactivate reflexes that had previously integrated, causing delays in learning and development.

What You Can Do Next

If you suspect that your child might have retained reflexes, or if you’ve noticed any of the signs mentioned above, it’s important to take action. Here are some steps you can take:

1. Observe and Document: Pay close attention to your child’s behavior and note any signs of retained reflexes. Documenting these observations can be helpful when discussing your concerns with professionals.

2. Consult with Professionals: Reach out to a pediatrician or an occupational therapist who specializes in reflex integration and sensory processing. They can conduct an evaluation to determine if retained reflexes are present and how they might be affecting your child.

3. Early Intervention: Early intervention can make a significant difference. Occupational therapy and specific exercises can help integrate these reflexes, leading to improved motor skills, better emotional regulation, and enhanced learning capabilities.

4. Use Available Resources: I have created a Primitive Reflex Screening Checklist that you can use to start observing your child's reflexes at home. You can access it here.

Supporting Your Child’s Growth

Understanding and addressing retained primitive reflexes can be a crucial step in supporting your child's overall development. By recognizing the signs and seeking the right support, you can help your child navigate their challenges and thrive. Every child is unique, and early intervention can open up new possibilities for growth and learning.

If you’d like to learn more about how I can support you and your child, feel free to schedule a call with me, here and connect with me on LinkedIn,​ Instagram​, andFacebook. Let’s work together to unlock the unique strengths within your child and foster their growth.