REHAB PROGRAM FOR NEURODEVELOPMENTAL DISORDERS
Brain based rehab identifies the areas of dysfunction and aims therapy specifically at those areas to build neuroplasticity and communication between different parts of the brain. Every child is assessed and given very specific brain based exercises dependent on their symptoms and their clinical presentation.
What we are evaluating and looking for when examining and observing your child:
- Impaired oculomotor tasks – can they make eye contact, visually fixate their gaze, and can they hold their gaze? Can they suppress unwanted eye movements? Can they track appropriately? These all indicate the ‘functional integrity’ of the frontal and parietal lobes, basal ganglia, and cerebellar-brainstem networks
- Are their Primitive Inhibitory Reflexes being inhibited; did they develop properly?
- Dual Tasking – Ability to take instructions and apply them while performing a motor and or mental/cognitive task
- Task switching – working memory, ability and speed of task switching. Do they freeze when you ask them a question?
- Cognitive processing – speed of incoming and outgoing information. Do they freeze when thinking or responding to a command?
- Perseveration – getting stuck on a motor, emotional or mental task which they repeat, think or perform over and over.
- Cognitive fatigue & stamina
- Fine & gross motor control and coordination
- Auditory, and visual processing which requires working memory
- Motor and cognitive planning and sequencing tasks
- Impaired attention – Can your child read, pursuit, track letters and words going left to right, jump from one line to the next without getting lost?
- Vestibular/cerebellar dysfunction – muscle tone, oculomotor stabilization, head, voice and gait tremors
- Poor stamina, muscle fatigue, muscle weakness, pain
- Impulse control
- Spasticity-increased tone, hypotonia- low tone, gait deviations, body neglect
We treat the underlying cause, using brain based rehab. This is not a “one size fits all” approach, and treatment will vary for everyone. When your child’s brain is working together and faster and they can actually “hold” their attention, you will see improvements in all areas of their life.
Along with 10 years of postgraduate training in Clinical Neurology, and Vestibular Rehab, Dr. Cramer is also a certified Interactive Metronome provider in Ontario.
We work with those affected by:
Auditory Processing Disorder
Visual Processing Disorder
Sensory Integration Disorder
Dysautonomia – Unregulated body temperature regulation, increased heart rate, bed wetting
PANDAS (autoimmune disease)
Konicarova J, Bob P. Asymmetric tonic neck reflex and symptoms of attention deficit and hyperactivity disorder in children. Int J Neurosci. 2013 Jun 5.
McPhillips M, Sheehy N.. Prevalence of persistent primary reflexes and motor problems in children with reading difficulties. Dyslexia. 2004 Nov;10(4):316-38.
Stoodley CJ, Fawcett AJ, Nicolson RI, Stein JF. Impaired balancing ability in dyslexic children. Exp Brain Res. 2005 Dec;167(3):370-80.
Curry EL, Clelland JA. Effects of the asymmetric tonic neck reflex and high-frequency muscle vibration on isometric wrist extension strength in normal adults. Phys Ther. 1981 Apr;61(4):487-95.
Blasco PA. Primitive reflexes. Their contribution to the early detection of cerebral palsy. Clin Pediatr. Jul;33(7):388-97,1994.
Zafeiriou DI. Primitive reflexes and postural reactions in the neurodevelopmental examination. Pediatr Neurol. 2004 Jul;31(1):1-8.
Sohn M, Ahn Y, Lee S.J Assessment of Primitive Reflexes in High-risk Newborns. Clin Med Res. 2011 Dec;3(6):285-90.
Links KA, Merims D, Binns MA, Freedman M, Chow TW. Prevalence of primitive reflexes and
Parkinsonian signs in dementia. Can J Neurol Sci. 2010 Sep;37(5):601-7.
John J. Buchanan and Fay B. Horak. Emergence of Postural Patterns as a Function of Vision and Translation Frequency. J Neurophysiol 81:2325-2339, 1999.