Neurodevelopmental Rehab


We use advanced Researched and evidence based ONLY applications.

Related imageWhat we are evaluating and looking for when examining and observing your child:

  • Right eye reading assessment with comprehension is performed – 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? Righting reflex until corrected causes oculomotor issues, vestibular and attention difficulties. Many are just partially retained
  • 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
  • Reading comprehension test
  • Fixation is made when the eyes stop! Good readers have fewer fixations

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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.

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Along with 10 years of postgraduate training in Clinical Neurology; a 4 year Science degree in Biopsychology (study of brain and behavior), postgraduate training in Neurodevelopmental and Vestibular Rehab, Dr. Cramer is also a certified Interactive Metronome provider who incorporates a number of cognitive tasks to further increase attention and cognitive skills.  We are the only providers in Ontario to offer the neurosensory integrator.

Rehabilitation Program

We work with those affected by:

  • Cerebral Palsy
  • Autism
  • Dyslexia
  • Learning Disabilities
  • Auditory Processing Disorder
  • Visual Processing Disorder
  • Sensory Integration Disorder
  • ADHD,  and ADD
  • Dysautonomia – Unregulated body temperature regulation, increased heart rate, bed wetting
  • PANS/PANDAS – an infection which triggers their own antibodies to attack there brain.Research
  • Engineer CT, Engineer ND, Riley JR, Seale JD, Kilgard MP. Pairing Speech Sounds With Vagus Nerve Stimulation Drives Stimulus-specific Cortical Plasticity. Brain Stimul. 2015 Jan 26. 
  • Porter BA, Khodaparast N, Fayyaz T, Cheung RJ, Ahmed SS, Vrana WA, Rennaker RL 2nd, Kilgard MP. Repeatedly pairing vagus nerve stimulation with a movement reorganizes primary motor cortex. Cereb Cortex. 2012 Oct;22(10):2365-74.
  • Shetake JA, Engineer ND, Vrana WA, Wolf JT, Kilgard MP. Pairing tone trains with vagus nerve stimulation induces temporal plasticity in auditory cortex. Exp Neurol. 2012 Jan;233(1):342-9.
  • 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.