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http://dx.doi.org/10.15268/ksim.2021.9.4.029

Effects of Primitive Reflex Integration Exercises on Forward Head Posture, Balance, and Concentration in Children with Neurodevelopmental Disability : A pilot study  

Jeong, Ji-Ung (Major in Integrative Medicine, Dept. of Medicine, Graduate School of CHA University)
Choi, Han (Graduate School of Art Therapy, CHA University)
Hahm, Suk-Chan (Graduate School of Integrative Medicine, CHA University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.4, 2021 , pp. 29-38 More about this Journal
Abstract
Purpose : Therapeutic exercise should improve the health outcomes of rehabilitation in children with neurodevelopmental disability. The purpose of this study was to investigate the feasibility of primitive reflex integration exercises on forward head posture, balance ability, and concentration in children with neurodevelopmental disability. Methods : This study included 10 children with neurodevelopmental disability. Primitive reflex integration exercises were performed for 40 minutes, twice a week for 8 weeks (16 sessions). The reflective markers were placed at the center of the shoulders and on the ears. A caliper was used to measure the distance between the attachments of the reflective markers to assess the forward head posture. Pediatric balance scale was used to quantify balance ability. Their abilities in terms of changeless sitting, looking at the teacher, putting children's hands on their knees, and looking at immovable and movable objects, were assessed to quantify concentration. Results : There were significant improvements in forward head posture after the intervention (p=.005). Primitive reflex integration exercises significantly improved balance ability of children with neurodevelopmental disability (p=.027). There were also significant improvements in changeless sitting (p=.005), looking at the teacher (p=.004), putting children's hands on their knees (p=.005), and looking at the immovable (p=.004) and movable (p=.004) objects. Conclusion : This study showed that primitive reflex integration exercises were a useful intervention to improve forward head posture, balance, and concentration in children with neurodevelopmental disability. Therefore, primitive reflex integration exercises may also promote and improve their general development. Further studies with appropriate sample size and control group are needed to conclude the effectiveness of primitive reflex integration exercises on improving posture, motor function, and concentration in children with neurodevelopmental disability.
Keywords
balance; concentration; forward head posture; neurodevelopmental disability; primitive reflex integration exercises;
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