I
recently sat down with the parents of a high school student
who has managed to barely get by in school. When we finished an
in depth testing process we discovered he has some serious
learning problems. His parents told me with aching regret, that
in the past, they had punished their son and taken things away because
they had been told that his poor performance in school was due to
“laziness and a behavior problem.”
Have
you ever seen one of these kids that look lazy?
Maybe
they always have their head on the desk. Others just never seem
to be able to get started. Or maybe they just seem tired all the
time, moving slowly, working slowly, barely able to muster any energy
until it’s time for recess, P.E., or lunch. When asked about
homework, they might say they didn’t have time, or didn’t
have the right book, or maybe even say they just didn’t feel
like doing it.
When
teachers have gone “above and beyond,” done all they
can do and the student doesn’t appear to be trying, lazy
is often the only obvious conclusion left.
What
we know about students is that if
they could do the work, they would do it.
Not doing
work is really embarrassing, and no student wants to be embarrassed.
So
what is it with these lazy-like kids? Difficulty learning
usually has its root in one or more areas of inefficient processing
or thinking, which are interrupting expected academic development.
Believe
it or not, the developmental foundation for learning begins in utero.
There is a developmental continuum that depends on each skill/ability
building on the group that develops before it. If there is interference
in this development, even at the earliest levels, it can affect
school performance.
Let’s
take a look at just one of these interferences.
Primitive
Reflexes
The Central Nervous System is the control center for all development
and learning. Its job is to facilitate a person’s ability
to move well, speak fluently, play, and develop skills for living
and learning.
Primitive
survival reflexes, or automatic movements that occur without thinking,
begin as early as 9 weeks in utero and are fully present at birth.
These reflexes are necessary to help the baby with the birth process
and with survival during the early months of life.
As the
nervous system and the brain continue to develop after birth, new
neurological connections are made and higher functions in the brain
take over. The primitive reflexes are no longer needed and in fact,
get in the way of the child’s thinking and learning if they
remain active.
Remember,
these reflexes are automatic (like a baby becoming startled or grasping
your finger). They occur without thought.
Efficient
learning depends upon more complex voluntary controlled movements
and higher thought processes, so primitive reflexes need to become
integrated and inactive. This should occur naturally by about 9-12
months of age.
When
primitive reflexes are retained, they can cause neurological interference
that affects motor control, sensory perception, eye-hand coordination,
and thinking, producing anxiety and causing the person to have to
work too hard and with less efficiency than would be expected. This
is called neuro-developmental delay.
Dr. Lawrence
J. Beuret, M.D., of Palatine, Illinois has developed an NDD checklist,
clues that a delay may be occurring, which includes these risk factors:
Pregnancy
and Birth:
- Complications
with pregnancy, labor,or delivery
- Low
birth weight (less than 5 pounds)
- Delivery
more than 2 weeks early or late
- Difficulties
for infant at birth: blue baby, difficulties breathing, heavily
- Difficulties
for infant at birth: blue baby, difficulties breathing, heavily
bruised, low Apgar scores, distorted skull, jaundice
Infancy:
- Feeding
problems in the first six months
- Walking
or talking began after 18 months
- Unusual/severe
reactions to immunization
- During
first 18 months: Illness involving high fever, delirium, convulsions
Family
History:
- Reading/writing
difficulties
- Learning
disorders
- Motion
sickness
- Underachievers
The
following learning challenges can be related to neuro-developmental
delay:
- Dyslexia
or Learning Difficulties, especially reading, spelling and comprehension
- Poor
sequencing skills
- Poor
sense of time
- Poor
visual function/processing skills
- Slow
in processing information
- Attention
and concentration problems
- Inability
to sit still/fidgeting
- Poor
organizational skills
- Easily
distracted and/or impulsive
- Hypersensitivity
to sound, light, or touch
- Poor
posture, coordination, balance, or gait
- Poor
handwriting
- Clumsiness/accident
prone
- Slow
at copying tasks
- Confusion
between right and left
- Reversals
of letters/numbers and midline problems
- Quick
temper/easily frustrated/short fuse
- Can't
cope with change/must have things a certain (their) way
- School
Phobia
- Poor
motivation and/or self esteem
- Depression,
anxiety or stress
Behavioral,
self esteem and motivational problems are associated with this list.
Core
Learning Skills Training
Movement is an integral part of learning. The kinds of movements
needed for learning are intentional and controlled.
For example, visually following an object with the eyes, holding
a pencil, moving the mouth to form sounds and words, or kicking
a ball all require intentional control of the muscles. According
to Dr. Samuel Berne, O.D., “when this neurological control
of the muscles follows an unconscious reflex instead of following
intention, the movement pattern becomes confusing instead of becoming
an automatic learned skill.”
In order
for comfortable learning to occur, basic physical skills
such as balance and being able to use both sides of the body (right-left
and upper-lower) together in a coordinated fashion must be in place.
With stimulation through specific kinds of movement activities,
primitive reflexes can be integrated so that the neurological and
motor systems are more available for higher level movement and thinking
tasks.
We frequently
have students who have great difficulty maintaining good posture
while sitting in a chair. At first glance, it looks like a motivation
or attitude problem, but our work with reflex integration and core
learning skills training has shown us that these students simply
don’t have the muscle control to do what is asked with any
consistency.
What
Can Be Done
In a clinical setting, we have developed a program called Core Learning
Skills. It focuses on the integration of five primitive reflexes
that are core to efficient learning and functioning. It also includes
activities for vestibular stimulation, motor development, visual
skills development, attention awareness and control.
As students
participate in Core Learning Skills Training, we see that they begin
to appear more mature, motivated, and attentive because they are
no longer battling inefficient movement patterns and are gaining
automatic motor control.
In a
classroom setting, there is a series of movements you can use with
your students. These can take as little as 5 minutes and help prepare
the brain for learning. While these are not specifically for reflex
integration, doing these movements will give students greater focus
and ability to use the skills they have in a more efficient way.
The program
is called Brain Gym by Paul Dennison. You can find this resource
at www.braingym.org.
Becoming
a Successful Student
Being a successful student involves many skills. When a child is
struggling in school and a little extra support isn’t making
enough difference, it is likely that there is something in the developmental
learning skills or underlying processing skills that is interfering
with academic success. In most cases, these skills can be developed
so that efficient and comfortable learning can take place. |