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Retained Reflexes And Dyslexia, Dyspraxia, Dyscalculia, Dysgraphia

Retained Reflexes And Dyslexia, Dyspraxia, Dyscalculia, Dysgraphia

Everyone has heard of dyslexia, but perhaps most people are less familiar with the terms dyspraxia, dyscalculia and dysgraphia, which are also specific learning difficulties…

So, what do all these terms mean?

Dyspraxia is a neurological spectrum that involves difficulties in motor planning, coordination as well as organisation of thought, sequencing and working memory and often extreme difficulties in setting thoughts down on paper. Dyspraxia can also come with sensory processing difficulties, anxiety and difficulties socialising, and can often be misdiagnosed as autism.

Dyslexia can be defined as a specific learning difficulty that is neurological in origin, which results in difficulties learning to read and spell.

Dyscalculia is a numeracy equivalent of dyslexia, involving extreme difficulties with numbers, calculations and numerical reasoning.

Dysgraphia is characterised by extreme difficulty or avoidance in getting thoughts down on paper, with poor or often illegible handwriting.

What causes specific learning difficulties?

All these dys- diagnoses are caused by under-developed connections in the corpus callosum and irregularities in the parietal lobe. This causes a disconnect between left and right hemisphere and means that information between the two hemispheres cannot be processed as efficiently as someone with a fully functional corpus callosum. Added to this, problems with balance and coordination.

Underlying all these specific learning difficulties is a cascade of retained reflexes. Most with these SPLDs will have the following reflexes active: Fear Paralysis, Moro, Landau, Symmetrical Tonic Neck Reflex, Tonic Labyrinthine Reflex and Asymmetrical Tonic Neck Reflex. It may be that these children/adults did not learn to roll effectively, get up on hands and knees and start to rock before reaching a hand out and starting to crawl, or to cross crawl during the appropriate developmental window, or that they skipped crawling altogether, perhaps they were late to meet milestones…

Does this sound familiar? If so, never fear! It is possible to repattern the brain to a certain extent, which will reduce or even eliminate these challenges.

You see, these developmental milestones aren’t simply there for fun – as they happen, our primitive reflexes gradually integrate. If we hit developmental milestones early or late or skip them altogether, we can expect to see reflexes hanging around in our systems. In fact, every one of us has a few, but it’s the extent to which they are retained that may or may not cause problems or learning difficulties.

I worked with a little boy of seven with extreme difficulties with the three Rs. He also had problems learning to ride a bike and had an extremely uncoordinated gait. So we got to work, and within a week of starting Rhythmic Movement Training, we saw improved eye tracking and he was suddenly able to ride his bike without stabilisers after two years of trying really hard to do so!

Difficulties learning to ride a bicycle can be related to the Asymmetrical Tonic Neck Reflex

His difficulties were all related to the Asymmetrical Tonic Neck Reflex, and his inability to separate head movements from arm movements. This stems from the time that this little boy was a baby, preparing to roll over, and turned his head to look at an outstretched arm, bending the opposite arm – something he never managed to get out of his system, because all his milestones were delayed – crawling at only 13 months and walking at 19 months.

We are now well into an Rhythmic Movement Training programme, and the differences are staggering. Many of his sensory processing signals – spinning, flapping, problems with sudden loud noises etc, have completely disappeared. His coordination has improved, his hypermobility has reduced noticeably, and his balance is much better – in fact, the latest is that he is learning to snowboard!

Rhythmic Movement Training is so called because we are training our brains to make the connections we should have made as babies, and training our bodies to notice small differences that can help us move forward – behaviourally, emotionally and academically.

Programmes involve an assessment taking around an hour, followed by shorter follow-up sessions every four weeks, and a bespoke programme of special movements for around 5 minutes per day, every single day.

Check https://rhythmicmovement.org/consultants for your nearest Rhythmic Movement Training consultant.

Primitive Reflex Integration

The Hidden Key: Ways Retained Primitive Reflexes May Impact Your Daily Life

Trying to explain what retained primitive reflexes are in an elevator pitch- style presentation is very difficult. This requires more than a 30 second summary.

The elevator pitch version of what I do is that I work to help primitive reflexes to integrate. These are the reflexes we are all born with, which should have disappeared in the first two years of our lives, as we progress through the “typical” milestones, such as rolling, sitting, crawling, etc, within the “typical” window of development. If we do not integrate these primitive reflexes, they remain “retained” in our systems, and cause emotional, behavioural and learning challenges throughout life.

Primitive reflexes
The order in which primitive reflexes emerge, mature and integrate

When people ask what I do, some think it’s some sort of wacky alternative therapy. Some think it’s massage. Some think I’m somehow conveying energy or something like that to “recipients”. I don’t do ANY of these things, and to me, neuro-developmental therapy is anything but alternative! In fact, it’s something that could save squillions – if our health service would only adopt it.

Retained Reflexes

So, what do I actually do, then?

Neuro-developmental therapy is a very gentle, movement-based, non-talking therapy, which gradually (sometimes suddenly) reduces social, emotional, behavioural and sensory challenges.

I work with central nervous systems and brains! I give the central nervous system and brain a second chance to develop typically if there has been a glitch in development.

Integrating retained primitive reflexes

Our development is like a very complex chain reaction: If a foetus’ development is interrupted in utero or during childbirth by some kind of stress/trauma, or a new-born’s development is interrupted by restricting movement or by some trauma, the next link in the chain cannot be completed, so neural connections are not as efficient as they would be without the interruption.

What this means going forward is that a person will have challenges – some noticeable and some that they are able to compensate for. As a matter of fact, most people have several glitches in their development that are not obvious to the untrained eye, but it is worth mentioning that our behaviour and personalities are very much shaped by our reflex profiles.

Neuroplasticity

Equally, I would like to emphasise that reflexes are just what we see on the surface. It is also extremely important to work with the gut and autonomic nervous system – otherwise you can do all the work you want with reflexes, but they’ll never fully integrate.

I work towards integration using foetal and newborn movement patterns, which mimic primitive reflex patterns, giving us a second chance to create the brain connections we should have created first time around.

How to integrate retained primitive reflexes

Every client who comes to me is a unique individual. Of course, part of the appointment involves testing for retained primitive reflexes, but I also carefully observe a client, taking in their use of language, movement, postural control and how they interact with me, a caregiver and their environment.

I may get children to draw a picture for me, and notice whether they are left or right handed, how they hold a pencil, what colours they use, how their pencil control and colouring is… after observing, I will home in on a few reflexes that I want to assess. I’ll then get my client to do some work with me, which involves a series of rhythmic and pre-birth movements and pressures that I get the client to resist.

For this reason, every client will receive a unique programme of movements. With any kind of neuroplasticity work, it’s a case of little and often, so I require my clients to stick to their programme daily, come rain or shine. However, a programme will often be as little as 5 minutes per day or sometimes even less.

I use a combination of Rhythmic Movement Training and somatic movement to integrate reflexes.

Signs of retained primitive reflexes

What happens if primitive reflexes are retained?

  • Poor emotional regulation
  • Inability to focus
  • Sensory processing difficulties
  • Mixing up left and right
  • Difficulty with motor planning and coordination
  • Anxiety
  • Shyness
  • Being a hyperchondriac
  • Self harm
  • Poor core strength – especially when children (and adults) w-sit
Retained primitive reflexes

How do you get rid of retained primitive reflexes?

Sometimes I can get a person to notice differences almost immediately. Sometimes it takes months of peeling back layers to get to the root of a problem.

In the future, it is my dream to get the NHS to recognise neuro-developmental therapy as a way to help children (and adults), but in the meantime, you can visit me at my clinic in Sussex.

They say that if you find a job you love, you’ll never work another day. For me and my colleagues specialising in neuro-developmental therapy, this cannot be more true. I feel that I’ve found my vocation: seeing people transform through movement is the most rewarding experience I could ever wish for.

Retained reflexes in adults

Retained Reflexes in Adults: Could you be compensating for primitive reflexes?

I often use my own experiences as a private pilot to explain compensation to new clients who want to know about retained reflexes in adults – the concept of working extra hard as a result of retained primitive reflexes due to a not quite “typically”-wired brain:

I was an average child who grew up in the 1970s. I played outdoors in all weathers, possibly a lot more than the children of today – skipping, French elastic, climbing frames, gymnastics, tree-climbing, getting muddy etc.

I was talking in full sentences when I was a year old, could read my name at 15 months and was reading when I was tiny (not sure how old). I remember being shocked that children had to read out loud when I started in Reception, though – I’d been reading in my head for ages before that. I didn’t really crawl – I went straight to walking at about 15 months. I can remember trying and failing to crawl – because I have a ridiculously early memory. I was also EXCESSIVELY shy. I found nursery school just too noisy and scary and remember hiding until I was picked up the ONE time that my mother left me at a big nursery school. I ended up going to a small playgroup at someone’s house, and have very fond memories of it, even now – even though I was only about three years old when I started going there.

Oh… also, nobody ever believes quite how early my memories go back. You won’t either, so I’m not going to tell you. But it’s not normal to remember anything from the first few months of life, and yet I do.

At school, I learnt to write easily. I wasn’t brilliant at maths, but not everyone is, right? My forte was always language and music. Well, I now think I may well be dyscalculaic, and I know that I have slower than average processing speed. I found times tables horrific to learn, and would always be last to finish in maths tests. I also found swimming front crawl particularly difficult, and found sitting comfortably still all day at school a challenge!

Retained reflexes in adults

So, when I started training in primitive reflex integration, seven years ago, I was slightly shocked to discover that I am not “neurotypical”. Walking at 15 months, skipping crawling, being excessively shy, not being able to master that cross-lateral front crawl movement and being as atrocious at maths as me is not “normal” development. But who cares? I have been successful in life! I did really well in my previous career. I can also fly light aircraft, so surely my brain must be functioning reasonably well? And yes, it is…

But… when I went on a course on the effect of retained primitive reflexes on reading and writing a few years back, I discovered to my great surprise that I had not developed a head-righting reflex! This is an adult postural reflex, which should start to emerge at around 3 months of age, and its absence causes vestibular issues, and makes reading – in particular copying from a board – and maintaining attention particularly difficult.

To test, you get a person to sit look at an object a few metres away. You then move their shoulders from side to side, and watch what the head does. If the reflex is present (as it should be), the eyes will remain level with the horizon. If it has not emerged, the head will follow the rest of the body.

The trainer showed us some isometric pressures that can be applied to help develop the head-righting reflex, and, as if by magic, within minutes mine started to emerge! I remember hearing gasps from the other course participants.

Out of interest, I went flying in a two-seater plane a couple of weeks later and did a few steep turns to see whether anything had changed. Well… normally, steep turns had the effect of making me feel disoriented and I would always lose hundreds of feet, no matter how many times I practiced and no matter how much I concentrated. However, with a head-righting reflex in place, my eyes stayed on the horizon and I maintained height for the first time since I started flying in 2003! I no longer felt disoriented either.

I often see private pilots in the early stages of training saying that they feel sick, and receiving advice on motion sickness bands, ginger etc – I often wonder whether they have a head-righting reflex or whether I could help them with it.

I’ve also brought this adult postural reflex online in several children and adults that I’ve worked with – it’s always a thrill. If it doesn’t happen immediately, something else is blocking it, however.

I digress….

The point of this post is to show that almost all of us are walking around compensating for difficulties that we are unaware of. To us, these difficulties are the norm, but they need not be! If a child is struggling with confidence, attention or the three Rs, it is well worth taking a look to see whether their reflex profile might be causing them to compensate.

So what can we do about it?

Primitive Reflexes

As a neuro-developmental therapist, I test for active baby reflexes, and help people to gradually mature these reflexes, using a combination of gentle foetal/newborn baby movements and pressures. Until you have experienced this for yourself, it is very hard to explain how it feels to suddenly have a challenge you have been used to for your entire life suddenly removed.

In my case, while my brain has indeed always allowed me to cope very well in the world and achieve things like learning to speak multiple foreign languages with ease, play the violin and fly light aircraft, things still could have been easier for me if I’d had integrated reflexes earlier.

Integrating primitive reflexes simply means that connections from the brainstem to higher levels of the brain will work more efficiently and not take the long way around all the time.

I now find that I can do things that I used to struggle with far more effortlessly – for example,

  • Getting butterflies before a stressful meeting: gone
  • Ability to listen and concentrate: vastly improved
  • Processing speed: vastly improved
  • Auditory processing: vastly improved
  • Ability to express myself clearly under stress: vastly improved
  • Procrastination: greatly reduced – especially when it comes to writing a blog post or completing a daunting form

If you would like to find out how reflex integration might help you, please do get in touch or book an appointment

The Spine, Fear and APD / ADHD

Recently, in an online forum on auditory processing disorder, someone asked an interesting question about whether there is a link between shoulder dystocia and auditory processing disorder and/or ADHD.

There followed some interesting (although not unsurprising comments). The majority said no, because their children had been delivered by C-section. There were many instrumental deliveries due to babies getting stuck, a few extremely rapid births and a lot of babies who needed resusictation or who had been oxygen-deprived at birth. There were also quite a few examples of shoulder and hip dystocia.

Research shows that babies who suffered severe jaundice are at a much higher risk of developing APD and ADHD, as well as those who have had repeated ear infections and prolonged episodes of glue ear.

During labour, mother and baby work together reflexively. The baby doesn’t have to be told what to do, and nor does the mother – otherwise we’d be extinct. If that cooperative dance isn’t working properly, a baby will need help to arrive safely.

The spine in-utero

The neural tube forms within the first 5 weeks of pregnancy. It consists of a primitive brain and spinal cord – our central nervous system. When this little nervous system forms, it reacts to external stimuli – in the early days, by recoiling (fear paralysis reflex) and later by expanding and contracting (moro reflex).

The Spinal Galant reflex starts to emerge at around the 20-28th week, and should mature within the three months of life. This is extremely important as it helps a foetus to start to develop a sense of whole body, with the development of a midline, as well as an upper and lower body and a back and front of body. The spine is also a conductor of sound in utero, and children (and adults) I see in clinic who have auditory processing challenges and ADHD/ADD ALWAYS have spinal reflexes, and often active ATNR, Moro and FPR reflexes too.

Not much later, the Asymmetrical Tonic Neck Reflex starts to develop. Together, the Spinal and ATNR reflexes help a baby to do the wiggle and twist that is the birthing process.

If these reflexes have not emerged strongly enough, birthing becomes a challenge and intervention may be required. Either this, or a birth may be so rapid that a baby doesn’t get a chance to go through the steps to help these reflexes mature, so they remain “stuck” in the system after birth and won’t integrate at the appropriate time. Babies born by C-section do not get a chance to fully develop these reflexes either.

Cue the importance of plenty of floor time and natural development without “props” as a baby grows. The more we try to “support” development with bouncers, walkers and containment methods such as Bumbo seats, the less chance we are giving children to integrate these reflexes themselves.

Signs of a retained Spinal Galant Reflex

To test for the Spinal Galant reflex, I tickle a couple of centimetres on either side of the spine and watch what happens. Sometimes the skin will twitch, sometimes the whole hip will flick involuntarily. I’ve seen extreme reactions in adults as well as children.

A retained spinal galant will cause the following challenges:

  • cannot sit still
  • hyper-sensitive to certain sounds
  • poor auditory processing
  • midline issues
  • short-term memory challenges
  • bed wetting past the age of five
  • poor coordination, for example, challenges swimming breaststroke
  • poor concentration
  • poor stamina
  • dislike of tight clothing around the waist/cannot bear labels in clothing

The Spinal Galant reflex later matures into the lifelong postural Amphibian reflex. A person who hasn’t developed an Amphibian reflex may have an awkward gait, and little integration between upper and lower body, which will cause coordination challenges.

An unintegrated Spinal Galant can potentially lead to lower back problems later in life, and even potentially scoliosis.

How can we get rid of a retained Spinal Galant reflex?

In fact, my preferred course of action, personally, is to see a client in clinic and assess reflexes and postural control, as well as general observation. I like to take people through a series of movements, designed to wake the nervous system up and get neurons firing. I then like to wait and see what happens. On MANY occasions, spinal reflexes haven’t integrated as a result of a person being in a dorsal vagal state. If this is the case, I recommend the Safe and Sound Protocol to start with, rather than reflex integration.

The Safe and Sound Protocol works by

To encourage your toddler/child to integrate a possibly unintegrated Spinal Galant, get them to scoot around the floor on their back, roll on a balance ball, or roll a ball up and down a wall using their back. You can also get them to dance the “twist”, sit on a balance ball, walk around the floor on their bottom or do snow angels.

However, it may be that it’s appropriate to see a professional to look at the full picture and check to see whether any other reflexes are present.

Because the Spinal Galant can be very much intertwined with the Fear Paralysis and Moro reflexes, sometimes a fair amount of work will need to be done so that everything integrates properly. This is why it’s important to realise that you will need to make a commitment to do movements every single day without fail.

It is also important to bear in mind that when we work with children, we do not aim to “fix” them. What we do is to reduce or remove dysfunctions due to “short circuits” in the body and brain that are causing emotional, behavioural and learning challenges.