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-> Children's Health
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amother
OP
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 Fri, Jan 28 2022, 2:39 pm
What does it mean?
Child is diagnosed with ASD and ADHD. Currently waiting on more tests. PT eval came back saying there are gross and fine motor delays plus several primitive reflexes still retained.
What issues could cause this?
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amother
Pumpkin
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Fri, Jan 28 2022, 3:04 pm
| amother [ OP ] wrote: | What does it mean?
Child is diagnosed with ASD and ADHD. Currently waiting on more tests. PT eval came back saying there are gross and fine motor delays plus several primitive reflexes still retained.
What issues could cause this? | Vagus nerve issues, nervous system inflammation. Read disconnected kids by Robert Melillo
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amother
Diamond
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Sat, Jan 29 2022, 9:46 pm
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How old is your child? Is this a standard PT eval or a specialist?
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amother
Snowdrop
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Sat, Jan 29 2022, 9:49 pm
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Infants have many movement reflexes that are supposed to integrate (and not occur anymore) by 1-2 years of age. Sometimes they dont' naturally integrate. There are many OT's that work on reflex integration through various exercises. Currently doing this with one of my children.
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amother
OP
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Sat, Jan 29 2022, 11:57 pm
| amother [ Diamond ] wrote: | | How old is your child? Is this a standard PT eval or a specialist? |
He's 6. How do I know if the eval was standard or specialist? PT eval was ordered after OT and speech therapists noted PT concerns. He's delayed in gross and fine motor. More tests are coming up b/c suspicion of fragile x. Could that cause it?
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amother
Ebony
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Sun, Jan 30 2022, 12:03 am
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amother
Begonia
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Sun, Jan 30 2022, 12:40 am
| amother [ OP ] wrote: | What does it mean?
Child is diagnosed with ASD and ADHD. Currently waiting on more tests. PT eval came back saying there are gross and fine motor delays plus several primitive reflexes still retained.
What issues could cause this? |
So interesting because my one year old has also not lost his primitive reflexes according to my OT. His fists are always clenched and he has a very pronounced startle amongst others that he should not have at this age. He’s getting EI because he is gross and fine motor delayed but otherwise seems fine. Babbles and is super social and seems to understand everything around him. My therapist is concerned about these reflexes but won’t say why so I’m concerned too… would love more insight…
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amother
Ebony
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Wed, Feb 02 2022, 10:02 pm
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FranticFrummie
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Wed, Feb 02 2022, 10:10 pm
| amother [ OP ] wrote: | | He's 6. How do I know if the eval was standard or specialist? PT eval was ordered after OT and speech therapists noted PT concerns. He's delayed in gross and fine motor. More tests are coming up b/c suspicion of fragile x. Could that cause it? |
That could definitely be related. When will you get the genetic test results back? If the test comes back positive, please reach out to these people. https://rarediseases.org/organ.....iety/
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amother
Green
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Wed, Feb 02 2022, 10:17 pm
| amother [ Begonia ] wrote: | | So interesting because my one year old has also not lost his primitive reflexes according to my OT. His fists are always clenched and he has a very pronounced startle amongst others that he should not have at this age. He’s getting EI because he is gross and fine motor delayed but otherwise seems fine. Babbles and is super social and seems to understand everything around him. My therapist is concerned about these reflexes but won’t say why so I’m concerned too… would love more insight… |
I am an OT. I do not specialize in reflex integration but have some basic understanding of it.
For fisting/grasp reflex it could cause issues with fine motor skills down the road. Imagine if your hand had a tendency to fist, even the tiniest bit, whenever something touched your palm- it would make doing a lot of things very difficult.
For the Moro reflex (startle/sensation of falling) along with ATNR/STNR, these can affect gross motor coordination in addition to attention to task. If the body is frequently being forced, even minority, to wiggle, squirm, twist, turn etc, it makes it very hard to sit in class and pay attention, or have good gross motor coordination.
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amother
Begonia
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Wed, Feb 02 2022, 10:36 pm
| amother [ Green ] wrote: | I am an OT. I do not specialize in reflex integration but have some basic understanding of it.
For fisting/grasp reflex it could cause issues with fine motor skills down the road. Imagine if your hand had a tendency to fist, even the tiniest bit, whenever something touched your palm- it would make doing a lot of things very difficult.
For the Moro reflex (startle/sensation of falling) along with ATNR/STNR, these can affect gross motor coordination in addition to attention to task. If the body is frequently being forced, even minority, to wiggle, squirm, twist, turn etc, it makes it very hard to sit in class and pay attention, or have good gross motor coordination. |
Exactly hence the concern! He is gross and fine motor delayed, still struggles with a pincer grasp, doesn’t crawl properly. Socially and cognitively he seems to be doing great (says about 7 words clearly, we think he might have a few more, really alert and seems to understand everything etc) and my pediatrician and EI therapist just keep saying he’s developmentally immature… but something about those newborn reflexes he clearly still has is worrying me…
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amother
Mauve
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Wed, Feb 02 2022, 10:41 pm
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I'm an OT as well. Sometimes retained reflexes are a symptom of a larger disorder. Very often they're standalone, and not related to anything significant going on neurologically. If the therapist is incorporating movement intended to integrate the reflexes, and you're seeing progress toward goals, you don't need to worry. If there's a larger picture then certainly you should pursue any relevant medical diagnosis. There are adults walking around with regained reflexes who don't even know it! I'm one of them (well, I do know it, but you know what I mean).
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amother
Snowdrop
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Thu, Feb 03 2022, 12:27 pm
| amother [ Begonia ] wrote: | | Exactly hence the concern! He is gross and fine motor delayed, still struggles with a pincer grasp, doesn’t crawl properly. Socially and cognitively he seems to be doing great (says about 7 words clearly, we think he might have a few more, really alert and seems to understand everything etc) and my pediatrician and EI therapist just keep saying he’s developmentally immature… but something about those newborn reflexes he clearly still has is worrying me… |
It's more common than you realize. Don't panic about it. Just find the best route to address it.
Doing reflex integration with one of my kids, and we have done with another one as well.
Once it's integrated (through OT exercises), it's gone.
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amother
Tealblue
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Thu, Feb 03 2022, 12:30 pm
| amother [ Snowdrop ] wrote: | It's more common than you realize. Don't panic about it. Just find the best route to address it.
Doing reflex integration with one of my kids, and we have done with another one as well.
Once it's integrated (through OT exercises), it's gone. |
Or PT exercises. OP speak more to the PT if you are concerned but it’s great you are getting your dc the help.
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