Ep 5 - Primitive Reflexes Explained: What They Are, Why They Matter, and What Happens When They Stay

ABOUT THIS EPISODE

Primitive reflexes are among the most important and least discussed aspects of early childhood neurodevelopment. They are the involuntary movement patterns that emerge in the brainstem during fetal development and the early months of life. They are not random. They are a training program — the nervous system's way of practising the movements that will eventually become voluntary, coordinated, and purposeful.

In a typically developing nervous system, primitive reflexes serve their purpose and then integrate — meaning they become inhibited by the maturing cortex and are no longer triggered in isolation. Most should integrate by around 12 months of age. When they do not, we call them retained reflexes. And retained reflexes are not a curiosity or a minor finding. They are a significant neurological signal that something in the developmental process was disrupted.

In this episode, I explain what primitive reflexes are, which ones matter most clinically, how you can observe signs of retention at home, and what common factors interfere with proper reflex integration. These include birth trauma, spinal restrictions, nutritional deficiencies, chronic inflammation, and insufficient floor time during the early months. None of these are permanent. They can be addressed.

I want every mother to understand this: if your child has behavioural, learning, emotional, or physical challenges that have not responded to standard approaches, retained primitive reflexes should be on your list of things to investigate. I see this every single week in clinical practice. It is not rare. It is common. And it is one of the most treatable root causes in pediatric neurodevelopmental care.

 

WHAT YOU WILL TAKE AWAY

  • Primitive reflexes are the nervous system's developmental training program. They wire foundational motor patterns that will later become voluntary, coordinated movement.
  • Retained reflexes signal that the brain was not able to complete normal integration. This is not a diagnosis of permanent dysfunction. It is information about what needs support.
  • Common causes of retained reflexes include birth trauma, spinal restrictions, nutritional deficiency, and inflammation. All of these are addressable with the right clinical support.
  • Signs of retained reflexes appear across a wide range of presentations. Learning difficulties, attention problems, emotional dysregulation, poor handwriting, motion sickness, sensory sensitivities, and sleep disruption can all reflect retained primitive reflex patterns.
  • Most cases of retained reflexes can be rehabilitated. With appropriate intervention during a child's developmental window, retained reflexes can be integrated and the developmental cascade re-established.

 

EPISODE TIMESTAMPS

00:00 — What primitive reflexes are and where they come from

02:30 — The reflex integration process: how the cortex inhibits the brainstem

05:00 — What retained reflexes look like and why they matter clinically

08:00 — The most common causes of retained reflexes

12:00 — How to observe signs of retention at home

17:00 — Treatment approaches and what rehabilitation looks like

CONNECT WITH DR. LISA

Website: createthrivingfamilies.com

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MUSIC

Original music composed by Philippe Custeau.

This podcast is for educational purposes only and does not constitute medical or professional advice. Always consult a qualified healthcare provider with questions about your child's health and development.