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Evaluating Primitive Reflexes in Early Childhood as a Potential Biomarker for Developmental Disabilities
Gerry Leisman1,2, Robert Melillo1
1Movement & Cognition Laboratory, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Journal of Paediatrics and Child Health
|April 8, 2025
Summary
Retained primitive reflexes (RPRs) are linked to neurodevelopmental conditions like autism spectrum disorder (ASD). Inhibiting these reflexes may offer a new treatment avenue for motor and cognitive impairments.
Area of Science:
- Neuroscience
- Developmental Psychology
- Clinical Neurology
Background:
- Primitive reflexes are typically present in infants and disappear as the central nervous system matures.
- Retained primitive reflexes (RPRs) are associated with various neurodevelopmental conditions, including autism spectrum disorder (ASD).
- The historical understanding of RPRs has evolved within scientific and medical communities.
Purpose of the Study:
- To elucidate the significance of RPRs in children, adolescents, and adults.
- To investigate the impact of RPRs on neurodevelopmental conditions, particularly ASD.
- To explore potential future treatment strategies targeting RPRs.
Main Methods:
- Literature review of studies examining retained primitive reflexes.
- Analysis of findings related to functional disconnectivities and cortical maturation.
- Exploration of the link between RPRs, motor impairments, and cognitive deficits.
Main Results:
- Functional disconnectivities, potentially due to cortical maturational effects on neuronal networks, are linked to neurodevelopmental disorders.
- Asynchronous development and inconsistent functional skills may arise from cortical maturational delays in specific networks.
- Evidence suggests an overconnectivity of short-range, immature connections and underconnectivity of long-range, mature connections in affected individuals.
Conclusions:
- Retained primitive reflexes are significantly associated with neurodevelopmental conditions.
- The presence of RPRs may reflect underlying issues in cortical maturation and neuronal network connectivity.
- Inhibiting retained primitive reflexes presents a promising target for future therapeutic interventions.

