Neuromotor Immaturity in Children and Adults - Sally Goddard Blythe - E-Book

Neuromotor Immaturity in Children and Adults E-Book

Sally Goddard Blythe

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Beschreibung

Available to healthcare professionals for the first time, this book contains proven screening tests to measure neuromotor immaturity in children and adults in order to provide a basis for referral and help. * Allows practitioners to screen for disorders of movement that can negatively affect educational performance and emotional function in children and adolescents * Assesses instances where disorders of movement in adults are affecting thoughts and behavior, as in panic disorder * Provides a novel approach for health care professionals observing aberrant reflexes in the absence of more serious pathology * Includes reproducible scoring and observation sheets for practice and serves as the perfect complement to Assessing Neuromotor Readiness for Learning

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CONTENTS

Cover

Title page

Copyright page

Dedication

Foreword

Acknowledgements

1 Identifying Signs of Neuromotor Immaturity in Children and Adults

1.1 Introduction

1.2 How to Use This Manual

1.3 Overview

1.4 Relationship Between Neuromotor Immaturity and Learning Outcomes

1.5 Neuromotor Immaturity in Adolescents

1.6 Relevance of the INPP Screening Test to Health Practitioners

1.7 What is the INPP Method?

1.8 How Does the Vestibular System Work?

1.9 Primitive Reflexes

1.10 What Evidence is There that Intervention in the Form of Movement Programmes Aimed at the Level of Primitive Reflexes Improves Reflex Status and Educational Outcomes?

1.11 What was Known About Exercises to Inhibit Primitive Reflexes? When was the INPP Method Developed? What has been Your Personal Experience Since then?

1.12 What is the Difference Between the INPP Method, Sensory Integration (SI), Vojta Therapy, Bobath Therapy and Others Working with Primitive Reflexes? What are the Criteria for Referral to a Particular Therapy?

1.13 What are the Top Five Medical Diagnoses Where Referral to INPP Should Routinely be Considered After Checking the Reflexes by Clinicians?

1.14 Screening Tests

References

2 Screening Test for Use with Children

2.1 General Instructions

2.2 Scoring

2.3 Tests

2.4 Tests for Primitive Reflexes

2.5 Sample Score Sheets

2.6 Sample Observation Sheets

2.7 Interpreting the Scores

References

3 Neuromotor Immaturity in Adults

3.1 The Role of the Vestibular System and Its Connections

3.2 Historical Background to Links Between Vestibular–Cerebellar Dysfunction and Anxiety, Agoraphobia and Panic Disorder

3.3 Vestibular Dysfunction: Cause or Effect?

3.4 Rationale for a Somatogenic/Psychosomatic Basis to Some Anxiety Disorders

3.5 Postural Righting Reactions

3.6 The Moro Reflex: A Trigger for Panic?

3.7 How to Use the INPP Screening Test

3.8 The INPP Adult Screening Questionnaire

3.9 Interpreting the INPP Adult Screening Questionnaire

References

4 INPP Screening Test for Signs of Neuromotor Immaturity in Adults

4.1 General Instructions

4.2 Scoring

4.3 Screening Tests for Use with Adults

4.4 Tests for Balance and ‘Soft Signs’ of Neurological Dysfunction (ND)

4.5 Tests for Balance and Proprioception

4.6 Tests for Primitive Reflexes

4.7 Adult screening test

4.8 Interpreting the scores

References

Resources

Additional Observation and Score Sheets

Training in The INPP Method

Other Books by Sally Goddard Blythe

Books on The INPP Method

Reflexes, Learning & Behavior

The Well Balanced Child

What Babies and Children Really Need

Attention, Balance and Coordination

The Genius of Natural Childhood

Assessing Neuromotor Readiness for Learning

Index

End User License Agreement

List of Tables

Chapter 01

Table 1.1 Comparisons between the therapeutic approaches of SI, INPP, Vojta and Bobath

Chapter 03

Table 3.1 STNR in flexion.

List of Illustrations

Chapter 01

Figure 1.1 ATNR neonate.

Figure 1.2 ATNR inhibited by the action of sucking in an infant at four months.

Figure 1.3a ATNR influencing writing position.

Figure 1.3b ATNR influencing writing grip.

Figure 1.4 Symmetrical tonic neck reflex in extension.

Figure 1.5 Symmetrical tonic neck reflex in extension.

Figure 1.6 STNR in flexion.

Figure 1.7 Sitting posture typical of an STNR in flexion.

Figure 1.8 STNR influencing sitting posture.

Figure 1.9 STNR influencing sitting posture.

Figure 1.10 STNR influencing sitting posture.

Figure 1.11 STNR influencing sitting posture.

Figure 1.12 Tonic labyrinthine reflex in extension.

Figure 1.13 Tonic labyrinthine reflex in flexion.

Figure 1.14 The Moro reflex in a neonate.

Chapter 02

Figure 2.1a Romberg test (eyes open).

Figure 2.1b Romberg test (eyes closed).

Figure 2.2 Test position for the one-leg stand.

Figure 2.3a Tandem walk forwards.

Figure 2.3b Tandem walk backwards.

Figure 2.4a Starting position for the Fog walk.

Figure 2.4b Vertical synkinesia evident when assuming the start position for the Fog walk.

Figure 2.5a Dysdiadochokinesia fingers start position.

Figure 2.5b Thumb and finger opposition.

Figure 2.6a ATNR Ayres start position.

Figure 2.6b ATNR Ayres head rotation.

Figure 2.6c ATNR Schilder test start position for adapted Hoff–Schilder test.

Figure 2.6d ATNR Schilder head rotation.

Figure 2.7a STNR start position.

Figure 2.7b STNR test with head flexion.

Figure 2.7c STNR test with head extension.

Figure 2.8a TLR test position.

Figure 2.8b TLR erect test head extension.

Figure 2.8c TLR erect test head flexion.

Figure 2.9 Moro reflex standard test start position.

Chapter 03

Figure 3.1 Functional links to and from the vestibular system.

Figure 3.2 The sense of self – a continuous process of interaction between structure and function.

Figure 3.3 Moro reflex in reaction to sudden alteration of position and temperature in a neonate.

Chapter 04

Figure 4.1a Romberg test (eyes open).

Figure 4.1b Romberg test (eyes closed).

Figure 4.2a Test position for the Mann test (eyes open).

Figure 4.2b Test position for the Mann test (eyes closed).

Figure 4.3 The Tandem walk – forwards.

Figure 4.4a Fog walk forwards.

Figure 4.4b Fog walk backwards.

Figure 4.5a Ayres test position.

Figure 4.5b Ayres test – head rotation.

Figure 4.5c Test position for the Hoff–Schilder test.

Figure 4.5d Hoff Schilder Test – Head rotation to the right.

Figure 4.5e Hoff Schilder Test – Head rotation to the left.

Figure 4.6a STNR quadruped test position.

Figure 4.6b STNR with head flexion.

Figure 4.6c STNR with head extension.

Figure 4.7a TLR test position.

Figure 4.7b TLR with head extension.

Figure 4.7c TLR with head flexion.

Figure 4.8a Test position for the adapted standard test for the Moro reflex.

Figure 4.8b Head position

after

applying the test stimulus. No reflex present.

Figure 4.8c Positive Moro reflex following use of the adapted standard test.

Figure 4.8d Test position for the erect ‘drag back’ test.

Figure 4.8e Lowered position for the erect ‘drag back’ test for the Moro reflex.

Guide

Cover

Table of Contents

Begin Reading

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Neuromotor Immaturity in Children and Adults

The INPP Screening Test for Clinicians and Health Practitioners

SALLY GODDARD BLYTHE

This edition first published 2014© 2014 John Wiley & Sons, Ltd

Registered OfficeJohn Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

Editorial Offices350 Main Street, Malden, MA 02148-5020, USA9600 Garsington Road, Oxford, OX4 2DQ, UKThe Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

For details of our global editorial offices, for customer services, and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell.

The right of Sally Goddard Blythe to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

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Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. It is sold on the understanding that the publisher is not engaged in rendering professional services and neither the publisher nor the author shall be liable for damages arising herefrom. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

Library of Congress Cataloging-in-Publication Data

Goddard, Sally, 1957– author.Neuromotor immaturity in children and adults : the INPP screening test for clinicians and health practitioners / Sally Goddard Blythe.p.; cm.Includes bibliographical references and index.

ISBN 978-1-118-73696-8 (pbk.)I. Title.[DNLM: 1. Developmental Disabilities–diagnosis. 2. Movement Disorders–diagnosis. 3. Adult. 4. Child. 5. Mental Disorders–etiology. 6. Movement Disorders–psychology. WL 390] RC451.4.M47616.85′88075–dc23

2014000615

A catalogue record for this book is available from the British Library.

Cover image: Colorful gears forming a human brain together with one red big central cog. 3D rendering isolated on white. © Adventtr / iStockCover design by Cyan Design

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