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The association between learning disorders, motor function, and primitive reflexes in pre-school children: A
Kylie McWhirter1, Amie Steel1, Jon Adams1
1Australian research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology sydney, Ultimo, NSW, Australia.
Insights
This review found motor deficits linked to learning disorders in preschoolers. Primitive reflexes, like the asymmetrical tonic neck reflex, were also associated with school readiness and attention issues.
Area of Science:
- Developmental Psychology
- Pediatric Neurology
- Educational Psychology
Background:
- Preschool children's development involves complex interactions between cognitive, motor, and neurological functions.
- Understanding the interplay between learning disorders, motor skills, and primitive reflexes is crucial for early identification and intervention.
- Existing research presents a heterogeneous landscape, necessitating a systematic synthesis of evidence.
Purpose of the Study:
- To systematically review empirical evidence on the associations between learning disorders, motor function, and primitive reflexes in preschool children.
- To synthesize findings regarding motor deficits and their relation to learning and executive functions.
- To explore the link between specific primitive reflexes and developmental outcomes such as school readiness and attention.
Main Methods:
- A systematic search of seven major academic databases (EMBASE, CINAHL, Academic Search Complete, Medline, PsycINFO, ScienceDirect, Cochrane) was conducted.
- Inclusion criteria focused on peer-reviewed articles reporting new empirical data on any two of the three core phenomena in preschool children, excluding intervention or pathological condition studies.
- Twenty-seven papers were included and assessed for methodological quality using the Hoy et al. Risk of bias tool.
Main Results:
- Motor deficits were frequently associated with speech/language, executive functions, and academic performance.
- Three studies indicated a positive correlation between high levels of the asymmetrical tonic neck reflex and improved fine motor skills, school readiness, and reduced impulsivity, hyperactivity, and inattention.
- Significant study heterogeneity necessitates caution in interpreting the aggregated results.
Conclusions:
- Motor function and learning disorders are interconnected in preschool children, with deficits impacting academic and executive functions.
- Primitive reflexes, specifically the asymmetrical tonic neck reflex, show potential correlations with key developmental milestones and behavioral regulation.
- Further research is required to elucidate common underlying mechanisms, potentially leading to improved early diagnostic approaches for these interconnected developmental phenomena.
Abstract:
This study aimed to systematically review evidence of the association between learning disorders, motor function, and primitive reflexes in preschool children. Seven databases were systematically searched (EMBASE, CINAHL, Academic Search Complete, Medline, PsycINFO, ScienceDirect, and Cochrane) with no restrictions. Inclusion criteria were full text peer-reviewed articles reporting new empirical data, assessing any two of three phenomena in preschool children: learning disorders, motor function, or primitive reflexes. Intervention studies or studies examining congenital, chromosomal or acquired neurological, or pathological conditions and prematurity were excluded. Included papers (n = 27) were assessed for methodological quality by the Hoy et al. Risk of bias tool. Learning and motor function were assessed in all except two articles and motor deficits found to be associated with speech/language and executive function as well as several areas of academic performance. Three studies included primitive reflexes, with high levels of the asymmetrical tonic neck reflex positively correlated with fine motor skills, "school readiness" and "impulsivity, hyperactivity and inattention." Caution must be used when interpreting the review results due to significant study heterogeneity. Further research is needed to further understand common underlying mechanisms that may inform earlier diagnostic methods for these three phenomena. PROSPERO: CRD42021265793.
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