About this Treatment
Neurodevelopmental Therapy is a gentle, structured programme that supports the development of your child’s nervous system by helping to integrate retained primitive reflexes. These reflexes are natural movement patterns present in early childhood, and when retained beyond infancy, they can impact learning, coordination, behaviour, and everyday activities. Completing these movements in a structured way helps support more efficient neurological development.
Your child completes a short set of exercises each day, usually taking 5–10 minutes, guided by you at home and supported by us as therapists. Progress is reviewed regularly, and the programme is adjusted as your child develops.
A full programme typically lasts 14–18 months, with exercises gradually adapted to match your child’s individual progress and needs.
What the Programme Includes
Initial Questionnaire
We begin by gaining a clear understanding of your child’s background, development, and current challenges.
Comprehensive Assessment
A detailed assessment of your child’s development, identifying which primitive reflexes are retained and how they may be affecting everyday functioning.
Tailored Home Programme
A personalised set of short daily exercises, usually 5–10 minutes, designed specifically for your child.
Parental Support
Ongoing guidance and practical strategies to help you confidently support your child at home.
Progress Reviews
Review sessions every 6–8 weeks to monitor progress and update the programme as needed.
We work using the internationally recognised INPP method. Through assessment, we identify retained reflexes and design a home-based movement programme that is simple, manageable, and tailored to your child. Each stage of the programme is designed to support development, attention, coordination, and confidence.
When primitive reflexes do not fully integrate, children may remain in a developmental “limbo” where early movement patterns continue to influence behaviour, learning, and motor skills. This is often referred to as Neurodevelopmental Delay (NDD) or Neuro-Motor Immaturity (NMI).
Unintegrated reflexes can contribute to challenges such as:
- Poor coordination and balance
- Slumped posture or low muscle tone
- Handwriting difficulties
- Slow copying or poor hand–eye coordination
- Letter reversals and sequencing difficulties
- Sensory sensitivities or sensory seeking
- Anxiety, overwhelm, or big emotional reactions
- Difficulty focusing or filtering background noise
- Motor delays and challenges in PE or sports
To understand these patterns, the INPP approach focuses on identifying which reflexes remain active and how they may be affecting your child’s daily functioning.
Reflexes We Address
Symmetrical Tonic Neck Reflex (STNR)
Typically integrates at 8–11 months of age.
If retained, 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
Our Process
1. Neuro-Developmental Assessment – INPP Method
We begin with a comprehensive reflex and motor assessment (INPP protocol) to identify which primitive reflexes remain active and how they are affecting your child.
2. Personalised Exercise Programme
Your therapist designs a precise, home-based movement programme based on your child’s profile. Exercises are simple, gentle, and take just 5 minutes per day.
3. 8-Week Review Sessions
Progress is monitored every 8 weeks, with each review lasting approximately 45 minutes. Exercises are progressed only when your child’s nervous system is ready.
4. Ongoing Support
We provide ongoing guidance to ensure exercises are completed safely and effectively, and to answer any questions that arise during the programme.
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