About this Assessment
A Neuro-Developmental Assessment using the INPP method looks at how well your child’s early reflexes have integrated. Primitive reflexes are automatic survival responses present at birth. As the brain matures in the first year, these reflexes should gradually “switch off,” allowing more mature postural reflexes to take over. These postural reflexes form the foundation for balance, coordination, posture, visual skills, and controlled movement.
When primitive reflexes do not fully integrate, children may experience challenges with movement, learning, behaviour, and sensory processing. Many common difficulties — such as poor handwriting, slumping at the desk, attention struggles, emotional regulation issues, or sequencing problems — can be linked to specific retained reflexes.
During this assessment, we look at the following key reflexes:
Symmetrical Tonic Neck Reflex (STNR)
Usually integrates by 8–11 months of age.
If this reflex remains active, children may:
- Show slow copying skills or poor hand-eye coordination
- Struggle to sit upright at a desk
- Have low muscle tone and poor posture
- Move or fidget constantly to stay comfortable
Tonic Labyrinthine Reflex (TLR)
Should integrate by around 3 ½ years of age.
When not integrated, TLR can cause:
- Mixing up letters (b/d, p/q)
- Difficulties remembering sequences (days of the week, instructions)
- Muscle tone issues (very floppy or very tight)
- Tiptoe walking
- Motion sickness
- Balance and coordination challenges
Moro Reflex
Typically integrates by 4 months of age.
If the Moro reflex persists, children may experience:
- Sensory hypersensitivity
- Difficulty focusing or filtering out background noise
- Feeling overwhelmed or shutting down
- Heightened anxiety
- Big emotional reactions or immaturity in social situations
- Strong need for control or routine
- Increased allergies or lower immunity
Asymmetrical Tonic Neck Reflex (ATNR)
Should integrate by around 6 months of age.
Retained ATNR can affect:
- Hand-eye coordination and pencil grip
- Visual tracking when reading
- Crossing the midline (e.g., writing across the page)
- Consistency of written work
- Bilateral coordination
- Hand dominance (mixed-handedness after age 8)
Spinal Galant Reflex
Usually integrates between 3–9 months of age.
If this reflex is still present, it may lead to:
- Constant fidgeting or difficulty sitting still
- Poor attention and focus
- Coordination challenges
- Twisting or slumping posture
- Possible link to bedwetting
By identifying which reflexes are still active, we gain a clearer understanding of why certain challenges are occurring and how to support your child’s development more effectively.
Our Process
1. Initial Meeting
We start with a detailed discussion about your child’s development, behaviour, learning patterns, motor skills, and any concerns you have noticed.
2. Full Neuro-Developmental Assessment
Your child completes a range of gentle, non-invasive tests assessing:
- Primitive and postural reflexes
- Balance and coordination
- Gross and fine motor skills
- Movement patterns
- Eye movements and visual tracking
- Laterality (right/left dominance)
- Visual perception and motor integration
3. Verbal Summary of Findings
At the end of the assessment, we explain which reflexes are retained and how they relate to the challenges you’re seeing at home or in school.
4. Personalised Home Programme
If needed, we create a daily physical exercise routine designed to support reflex integration and help the nervous system mature.
5. Written Report
A comprehensive written report is provided within two weeks, outlining findings and recommendations.
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