Our total body postural behavior results from an integration of all our body reflexes, and this integration occurred in central nervous system. New born baby do not have this integration and his/her all movements are automatic and crud level. Normal brain leads to normal development. And lesion in abnormal brain leads to abnormal development. Lesion in immature brain leads to abnormal tone development and abnormal postures. In cerebral palsy there is lesion in immature brain that leads to abnormal sensory-motor development. In cerebral palsy there is no integration of neonatal reflexes and delayed in motor development. Abnormal reflex movements produce abnormal synergies and abnormal posture. Primitive reflexes have very important role in development of child. These reflexes also have prime importance in assessment and evaluation. As there is brain lesion in these children, upper center do not have inhibitory effect on lower center, so there is an exaggerated reflex movements. There are different senserimotor approaches of treatment like Bobath, Brunnstromís movement therapy, Roodís approach and proprioceptive neuromuscular facilitation. Theoretical basis of these treatments are neurodevelopmental modal, reflex theory, hierarchical theory and system approach. Reflex integration should be major component of treatment in children with cerebral palsy.
cerebral palsy, development of tone, primitive reflexes, neonatal reflexes
Article Language: Turkish English