CONTENTS
About the Author ix
Contributors xi
Preface , xiii
Acknowledgements xix
1 Windows on the Brain 1
Introduction 1
Developmental Readiness for Education 2
What Is Neuro-developmental Dela}/? 3
What Is the Connection Between Neuro-developmental Delay
and Specific Learning Difficulties? 4
Primitive and Postural Reflexes — the Medical Model 5
Neurological Dysfunction in Specific Learning Difficulties 7
Diagnostic Criteria, Signs, and Symptoms of Specific Learning
Difficulties 9
Dyslexia — Signs and Symptoms 10
DCD (Dyspraxia) 13
Attention Deficit Disorder (ADD) 21
Underachievement 23
The Sensory-Motor Connection 23
Theories of Motor Control 25
2 The Significance of Primitive and Postural Reflexes 31
What Are Primitive and Postural Reflexes? 32
What Can Primitive and Postural Reflexes Tell Us? 32
The Developing Brain 33
The Emergence of Spinal Reflexes 34
Reflexes Mediated at the Spinal Level 35
Reflexes Mediated in the Brainstem 36
Reflexes as Reflections of Hierarchical Development 38
Areas of the Brain Involved in the Mediation of Primitive
and Postural Reflexes . 42
The Multisensory Reflex - the Moro Reflex 45
Characteristics of the Fear Paralysis Reflex 53
Moro Reflex Activators 56
Functions of the Moro Reflex 56
Physiological Response to the Moro Reflex 56
Implications of a Retained Moro Reflex 57
Symptoms of Scotopic Sensitivity Syndrome (SSS) 61
General Symptoms Associated with a Retained Moro Reflex 63
Behavioural Outcomes Associated with a Retained
Moro Reflex 66
3 Primitive Reflexes of Position 71
Tonic Labyrinthine Reflex (TLR) 71
Development of Head Control 74
Why Is Head Control So Important? 78
The Tonic Labyrinthine Reflex (TLR) and Early Feeding 78
Asymmetrical Tonic Neck Reflex (ATNR) 80
Symmetrical Tonic Neck Reflex (STNR) 89
4 Primitive Tactile Reflexes 105
Palmar Grasp Reflex 105
Plantar Reflex 109
Rooting Reflex ; 114
Suckling and Sucking Reflexes 120
The Spinal Galant Reflex 122
5 Postural Reflexes 135
Head Righting Reflexes 139
Righting, Placing, and Equilibrium Reactions . 149
Parachute Reflex 154
6 Use of the INPP Screening Questionnaire 157
The INPP Screening Questionnaire for Children 159
How to Use the INPP Questionnaire 161
7 Post-natal Factors Using the INPP Questionnaire 201
Schooling 224
Scoring the INPP Questionnaire 234
Research into the Reliability of the INPP Questionnaire 234
8 The Development of the Vestibular-Cerebellar
Theory * 239
Origins . 240
Development of Balance 247
Cerebellum and Balance 247
Significance of Vestibular Dysfunction 265
Symptoms of Vestibular Problems 265
9 The Effects of Neuro-developmental Delay in Adults
and in Adolescents 271
Problems in Higher Education 274
Vestibular Connections to the Reticular
Activating System (RAS) 278
Adolescent and Adult Manifestations of NDD -
a Clinical Perspective 292
10 Development of the INPP Method — from Theory to Fact 311
11 Other Factors in Specific Learning Difficulties 325
Unravelling the Threads 325
Use of Physical Tests to Assess Neurological
Readiness in Schools 347
Application of the INPP Method 358
The Neuro-educator 359
Attention, Balance, and Coordination 361
Appendix 1 Screening for Neurological Dysfunction in the
Specific Learning Difficulty Child 365
Abstract 365
Introduction 366
Early Identification 367
Aim of the Study 368
Method 368
Analysis of the Questionnaire as a Means of Identifying
Specific Learning Difficulties 370
Analysis of Individual Questions 370
Results 371
Discussion 371
Conclusions 375
Appendix 2 Frequency Range of Vocals and Musical
Instruments 379
Glossary of Terms 381
Bibliography 389