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Proffesional PR 101
Proffesional PR 101
MORO WORKBOOK
A printable
workbook you
can use today!
Dr Belinda Palmer
A NOTE FROM
THE AUTHOR
WELCOME, MY BEAUTIFUL FRIEND.
m e r D C
d a P a l
B e li n Belinda Palmer DC
ARCHETYPE>HEALTH
DISCLAIMER
INTRODUCTION
Primitive reflexes are reflexes that help babies get through the first
year of life and become more independent. They are often referred to
as infant reflexes because they are found infants and should not be
found in adults. They help set the stage for the development of
multiple systems and skills such as the vestibular system, the sensory
system, gross motor skills, fine motor skills, and oculomotor system.
They are the bases for the development and continued maturity of
the brain as a baby grows in to a walk talking toddler.
The Moro reflex, often dubbed the "startle reflex," plays a fascinating
role in the early development of infants. This involuntary reaction,
typically observable in newborns, is more than just a simple response
to sudden stimuli. It bridges our understanding of basic neurological
functions and the evolutionary aspects of human development,
particularly when exploring its relationship with fear paralysis. In this
introductory exploration, we delve into the intricacies of the Moro
reflex, shedding light on its significance, mechanisms, and its
intriguing connection to fear paralysis, offering parents, caregivers, and
enthusiasts a glimpse into the complex world of infant development.
The Moro reflex is triggered when an infant feels a loss of support,
such as when they are slightly dropped or startled by a loud noise. The
reaction is characterized by the infant suddenly extending their arms
and legs outward, spreading their fingers, and then retracting their
limbs and crying, usually in response. This reflex is believed to be a
primitive survival instinct, helping infants cling to their mothers in
case of a fall. Typically, the Moro reflex starts to appear at birth and
gradually diminishes around 4 to 6 months of age as the infant's
nervous system matures.
The presence of the Moro reflex is a vital sign of a newborn's
neurological health and development. Its absence or asymmetrical
presentation can indicate underlying neurological issues, making it a
critical aspect of neonatal assessments. However, the disappearance
of the Moro reflex is equally important, marking a milestone in the
infant's neurological development, as it gives way to more voluntary
and controlled responses to the environment.
Fear of Embarrassment
Overly attached
Unaffectionate
Temper tantrums
EXTREME SHYNESS
Selective mutism
Aggressive behavior
Phobias
MORO REFLEX
SIGNS AND SYMPTOMS
Easily distracted
Overreacts
Emotional immaturity
Withdrawn
ADD
Depression
Excessive blinking
Dislike Change
Easily Fatigued
Vestibular problems
Motion sickness
Impulsive behavior
FEAR PARALYSIS
SIGNS AND SYMPTOMS SCALE
SCALE
0 = never
2 = sometimes 4 = always 0 1 2 3 4
easily Fatigued
SCALE
TOTAL _________
0 > 1 = Normal
Divide the total number by 10 to
1 > 2 = mildly retained
get your average score
2 > 3 = Moderately retained
SCALE
0 = never
2 = sometimes 4 = always 0 1 2 3 4
Blinks a lot
Impulsive
Anxiety
SCALE
TOTAL _________
0 > 1 = Normal
Divide the total number by 10 to
1 > 2 = mildly retained
get your average score
2 > 3 = Moderately retained
Testing
Testing for a retained Moro reflex in children is a critical component
aimed at determining whether this primitive reflex has been
appropriately integrated as the child grows. The focal point of this
testing is to observe the child's reaction to a sudden simulated sense
of falling or unexpected stimuli, which should not trigger the
pronounced startle response characteristic of infancy.
Positive indicators of a retained Moro reflex include an exaggerated
startle response to sudden noises or movements, difficulties in
calming oneself after being startled, hypersensitivity to sensory inputs,
and challenges with balance and coordination. Additionally, signs
such as involuntary blinking, facial flushing, and a sudden sharp intake
of breath upon being startled are significant. These responses suggest
the nervous system's continued reliance on early developmental
survival mechanisms, potentially affecting the child's emotional
regulation, attention, motor skills development, and social
interactions.
The rationale for identifying these positive signs lies in the profound
impact a retained Moro reflex can have on a child's overall
development. When this reflex persists beyond its typical integration
period, it may signal neurodevelopmental delays or issues, impacting
a broad range of functions from physical capabilities to learning
processes and emotional management. Recognizing a retained Moro
reflex enables targeted interventions, like specialized exercises or
therapeutic approaches, designed to help integrate the reflex and
support the child’s developmental trajectory.
TESTING
Head Drop
Duck Walk
Pigeon Walk
POSITIVE SIGNS
Inability to preform
Intake of breath
Eyes blinking
Create a Safe Environment : The moro reflex is associated with anxiety. Creating a
safe space will help reduce the anxiety during testing
Controlled fall : When testing the vestibular component of a retained Moro reflex
you are stimulating a sudden “controlled fall”. You should never just let an individual
just fall. If you can not safely stimulate a fall, use a different test or contact a
professional
Loud Noise : When testing the auditory portion of the retained Moro reflex you need
to do a sudden and surprised noise. This means a loud noise. You must aware of
hurting an individuals ears with too loud of a noise or creating the noise to close to
their ear.
Balance and Coordination : There are several balance and coordination test for a
retained Moro. These test do not use a sudden stimulus and there for do not elicit a
Moro response. *** They do test for patterns associated with a retained Moro and are
less conclusive.
Variations: There are multiple variations to testing the Moro reflex. You do not need
to do all the test. Read through the tests and pick one or two that you feel would be
easiest for the individual being tested. If you are unsure of your results, try a different
test and also refer back to the checklists.
Quickly bring
Quickly bring
the head
them down.
down
Stimulate a
“fall”
Results: The individual should remain calm and may possibly laugh. If the individual
becomes upset or anxious, takes in an deeper breath, blinks quickly, heart begins to race,
or they become flushed then they may have a retained Moro. You may also notice the
hands move from face down to face forward with the Head Drop test
Intake of breath
TEST 3&4
EYES CLOSED WITH CLAP WITH TRUST FALL
CLAP INSTRUCTIONS: For individuals 4 years and
INSTRUCTIONS: For individuals 2 years and older. Have the individual stand with their
older. Have the individual stand with their eyes closed. Let them know that you are going
eyes closed. Walk up behind the individual to clap and when you do clap that they are to
and clap loudly. This tests for the auditory fall backwards. Let them know you will catch
portion of the Moro reflex. Please note that them. The clap once loudly. After they begin
there still maybe a retained Moro reflex even to fall catch them. This tests both vestibular
if no startle response is achieved through and auditory portions of the Moro reflex
noise.
Results: The individual should remain calm and may possibly laugh. If the Individual
becomes upset or anxious, takes in an deeper breath, blinks quickly, heart begins to race,
or they become flushed then they may have a retained Moro. If the individual stops
themselves from falling during the Clap with trust fall test, it is likely they have a retained
Moro reflex
Intake of breath
Jump response
Intake of breath
Increased feeling of anxiety
Eyes blinking
Results: The individual should be able to smoothly walk ten steps. It is a sign of a retained
Moro if the individual has trouble maintaining opposite toe and thumb orientation, If
they become anxious, lose their balance, or struggle with their core as they walk.
***Studies suggest the Moro interferes with independent movement of the limbs
holding breath
INSTRUCTIONS: Best for individuals ages 3 and up. Have the individual stand up. Then
instruct them to cross one leg over the other and touch their toes. ***Studies suggest that
retained Moro reflex interferes with independent limp movement and balance.
Results: The individual should remain calm and keep their balance when they bend over.
A retained Moro reflex maybe present if they have trouble preforming the task or
maintaining balance
Intake of breath
Test: ______________________________
POSITIVE SIGNS
Intake of breath
Test: ______________________________
POSITIVE SIGNS
Intake of breath
SECTION INTRODUCTION
Moro Reflex Inhibition Exercises play a pivotal role in supporting
children whose Moro reflex has not integrated naturally during
infancy. These specialized exercises are designed to help reduce
the sensitivity of the retained reflex, facilitating smoother
neurological development and enhancing a child’s ability to
engage more comfortably with their environment.
Key exercises include activities that promote balance,
coordination, and sensory integration. One popular method is
the "Starfish Exercise," where the child lies on their back and
simultaneously extends their arms and legs outward into a
starfish position, then slowly brings them back in, mimicking the
Moro reflex in a controlled manner. This exercise helps the
nervous system process and adapt to the sensation of the startle
reflex in a safe environment.
Another effective technique involves gentle rocking or swinging
movements, which can help soothe the nervous system and
reduce the overactive response associated with a retained Moro
reflex. These movements mimic the comforting motion
experienced in the womb, providing a sense of security and
promoting the integration of primitive reflexes.
Breathing exercises are also beneficial, teaching children to
control their response to sudden stimuli through deep, calming
breaths. This can help manage the sudden inhale often seen
with the Moro reflex, reducing overall anxiety and improving
emotional regulation.
The general rule is to inhale during extension movements and exhale during
flexion movements. This guideline is rooted in the natural movement of the
diaphragm and how it affects the body's internal space and pressure.
Inhale during extension: Extension movements are those where you open
up the body, such as lifting the chest, reaching the arms overhead, or
arching the back. These movements tend to create more space in the
chest and abdomen, allowing the lungs to expand more fully. Inhaling
during these movements can help facilitate a deeper breath and
encourage a sense of opening and expansion.
Exhale during flexion: Flexion movements are those where the body
contracts or folds, such as bending forward, curling into a ball, or twisting.
These movements decrease the space in the abdomen and chest,
naturally pushing air out of the lungs. Exhaling during these movements
can help deepen the pose by allowing a greater range of motion and
aiding in the release of tension.
MORO
Pigeon Walk
FEAR PARALYSIS
BREATHE WORK
Physiological Sigh
INSTRUCTIONS: Use a therapy ball or chair. Start in a flexed position with right arm over
left arm and right leg over left leg. The head should be flexed towards the chest. Inhale
and open the body into extension. The body should form a star/starfish shape. The head
should be going back into extension. Hold for 2 seconds and then exhale and bring the
body back into flex, crossing the left arm over the right arm and the left leg over the right
leg. Repeat 20 times twice per day.
Variations: If the
individual has difficulty
crossing over their limbs
you can guide them
through the process. Or
you can start by not
crossing the limbs and
just have the individual
start out in a generalized
flexed positions until they
have more
control/coordination over
their body.
INSTRUCTIONS: Start in a flexed position. Bring the knees to the chest and wrap the arms
around the knees. The head should be flexed towards the chest Inhale and roll on to the
back. Pop open into a supine starfish position. The body should form a star/starfish shape.
Hold for 2 seconds. Then exhale and “squeeze” body back into the original flexed position and
roll up. Repeat 20 times twice per day.
INSTRUCTIONS: Start in a squat position with arms crossed. Inhale and stand up with
arms reaching up and out. ****If the individual has good balance, they can also put their
head back into extension. Exhale and return to the squat position with arms crossed.
Repeat 20 times twice a day.
INSTRUCTIONS: Stand straight up with feet INSTRUCTIONS: Sit on the edge of the
together, arms at you sides and eyes closed. therapy ball. Inhale and role back on the
The individual is tapped by a designated ball putting your head into extension. Inhale
“Tapper” firmly at different/random points on and come back to the seated position on
their body. The individual is to remain calm the edge of the ball. Depending on level of
and keep their balance. The goal of the balance and coordination the individual
person (The Tapper) tapping is to create a may need help stabilizing the ball. You can
sudden firm stimulus that slightly also have them bring toys from one side of
challenges the individuals balance. The taps the ball to the other side to help with
should not cause the individual to lose their engagement. 20 times twice a day.
balance. 10 taps twice a day.
INSTRUCTIONS: Have the individual lay flat on their stomach. Have them inhale and lift their head
up for 3-5 seconds before exhaling and bring their head back to the floor. Do this 10 times. Then
have them turn onto their back. Have them exhale and lift their head up for 3-5 seconds before
inhaling and lower their head back down. Do this 10 times. 1 to 2 times per day..
INSTRUCTIONS: Have the individual lay flat or with their feet bent. Gently but firmly grab their
feet or ankles. Have them take slow deep breaths from their belly or have them hum. Gently
rock them back and forth. Do this for 1-3 minutes twice a day
INSTRUCTIONS: With a ball have the individual lay on there back. Starting at the naval roll the
ball slowly and gently up to and over the head. Then roll back down. Then do this to each limb
individually. Next Starting at the naval roll up and over each arm. Then roll down and over each
leg. This connects the top part of the body and the bottom part of the body.
Next starting at the naval roll the ball over up and over right arm and then right leg. Then do
the same for the left side. This connects the right side of the body and the left side of the body.
Finally starting at the naval roll up over the right arm and then down the left leg and back. Do
the same for the right arm and left leg. Do this once a week or as needed.
INSTRUCTIONS: Laying on the stomach inhale and left the chest up. Arms are underneath
and bent at a 90 degree angle supporting the upper body weight. The head then looks up
and turns as far as possible to the right. exhale three coughs. Inhale and turn the head to
the opposite side and cough three times. Do this 10 times once a day or as needed.
Remember, consistency and patience are key. Children may take time to master these
techniques, especially in moments of stress. Regular, gentle practice can help them
develop a valuable skill for emotional regulation.
This techniques should be practiced with caution, especially if you have any
respiratory conditions or other health concerns. It might be beneficial to
consult with a healthcare professional or a breathing specialist before trying
these techniques, especially in relation to a retained Moro reflex.
This techniques should be practiced with caution, especially if you have any
respiratory conditions or other health concerns. It might be beneficial to
consult with a healthcare professional or a breathing specialist before trying
these techniques, especially in relation to a retained Moro reflex.
SECTION INTRODUCTION
SECTION INTRODUCTION
Implementation Strategy:
Daily Practice: Consistency is key. Incorporating exercises into the child's
daily routine ensures gradual progress and adaptation by the nervous
system.
Professional Guidance: Collaboration with a pediatric chiropractor,
occupational therapist, or other specialists experienced in
neurodevelopmental reflex integration is crucial. They can offer personalized
advice, adjustments to the exercise plan, and support for tracking progress.
Positive Environment: Creating a supportive and encouraging environment is
essential. Praise progress and understand that every child's pace of
integration will vary.
Integration into Play: Making exercises feel like play improves engagement
and reduces resistance. Games, imaginative play, and activities that the child
enjoys can be adapted to include therapeutic movements.
Remember, each child's path to integrating the Moro reflex is unique. Patience,
persistence, and a positive, supportive approach are the cornerstones of making
the exercise plan a success.
YOGA
SEQUENCE
STARFISH
STARFISH
VRRIATION
ROCKING
ROCKING
BALANCE
BALANCE
BALANCE
BREATHING
ADDITIONAL
ADDITIONAL
ADDITIONAL
ADDITIONAL
SCALE
0 = never
2 = sometimes 4 = always 0 1 2 3 4
easily Fatigued
SCALE
TOTAL _________
0 > 1 = Normal
Divide the total number by 10 to
1 > 2 = mildly retained
get your average score
2 > 3 = Moderately retained
SCALE
0 = never
2 = sometimes 4 = always 0 1 2 3 4
Blinks a lot
Impulsive
Anxiety
SCALE
TOTAL _________
0 > 1 = Normal
Divide the total number by 10 to
1 > 2 = mildly retained
get your average score
2 > 3 = Moderately retained
HAVE QUESTIONS?
drbelinda@archetype.health
@DRBELINDAPALMER_DC ARCHETYPE.HEALTH
THE FUTURE
BELONGS TO
THOSE WHO
BELIEVE IN THE
BEAUTY OF
THEIR DREAMS.
ELEANOR ROOSEVELT