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Published on: October 17, 2025
Persistent primary reflexes affect motor acts: Potential implications for autism spectrum disorder
Alice Chinello1, Valentina Di Gangi2, Eloisa Valenza2
1Physiotherapist at ULSS 16 - Unità Locale Socio Sanitaria, Padova, Italy.
Insights
Persistent primitive reflexes in infants correlate with motor skills and parental autistic traits. This suggests reflex evaluation may indicate early atypical development, impacting future motor abilities.
Area of Science:
- Developmental Pediatrics
- Neurodevelopmental Disorders
- Motor Control
Background:
- Typical motor development relies on inhibiting primitive reflexes for advanced actions like gestures.
- Autism Spectrum Disorders (ASD) are associated with motor difficulties and limited gesture repertoires.
- Subclinical autistic traits exist on a continuum within the general population.
Purpose of the Study:
- To examine the link between persistent hand/mouth primitive reflexes and motor repertoire in infants.
- To investigate the association between infant primitive reflexes and parental subclinical autistic traits.
Main Methods:
- Study sample: 12- to 17-month-old infants.
- Data collection: Assessed persistence of primitive reflexes, infant motor repertoire, and parental subclinical autistic traits.
Main Results:
- Persistence of primitive reflexes correlated negatively with motor repertoire, independent of infant age.
- Infants with more persistent reflexes had parents with higher levels of subclinical autistic traits.
- These findings highlight a potential connection between primitive reflex retention and neurodevelopmental trajectories.
Conclusions:
- Persistent primitive reflexes may disrupt the developmental path of motor skills.
- Evaluating primitive reflexes could serve as an early marker for atypical development.
- This research offers insights into the early detection of neurodevelopmental variations.
Abstract:
In typical motor development progress in use of goal-directed actions and communicative gestures depends on the inhibition of several primitive reflexes, especially those that involve the hand or mouth. This study explored the relationship between the persistence of primitive reflexes that involve the hand or mouth and the motor repertoire in a sample of 12- to 17-month-old infants. Moreover, since children with Autism Spectrum Disorders (ASD) often have difficulty in performing skilled movements and show poor gesture repertoire, and since ASD represents the upper extreme of a constellation of traits that may be continuously distributed in the general population, we investigated the relationship between the persistence of primitive reflexes in the same sample of infants and the subclinical autistic traits measured in their parents. Results revealed that the persistence of the primitive reflexes correlated with motor repertoire irrespective of infant's age, and it was greater among infants whose parents had more subclinical autistic traits. Our findings suggest that the persistence of primitive reflexes might alter the developmental trajectory of future motor ability and therefore their evaluation might be an early indicator of atypical development.
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