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How Midline Interruption Affects Reflex Integration

Uncategorized Jul 31, 2025

Key Points:

Movement Lesson® How Midline interruption directly affects reflexes, and what that means for development:

 

🔹 1. Reflexes Need a Midline to Integrate

Primitive reflexes (like ATNR, STNR, Moro) are not bad — they're essential.
But to integrate, the body must establish symmetry, sequencing, and a stable central axis.
 
If the body can't cross or reference its midline, reflexes stay active instead of becoming available.
 
 

🔸 2. ATNR Stays Active Without Horizontal Midline

  • Reflex: When the head turns, the arm/leg extends on that side, and flexes on the other
  • Problem: Without a stable horizontal midline, the infant can't cross over or rotate cleanly
  • Result: ATNR becomes dominant → leads to:
  • Hand preference too early
  • Avoidance of rolling or reaching across the body
  • Reading/visual tracking issues later

 

🔸 3. STNR Can't Emerge Without Vertical Midline

  • Reflex: Neck flexion causes arm flexion/leg extension (and vice versa)
  • Problem: If there's no vertical spinal mapping, the body can't separate the top and the bottom
  • Result:
  • Crawling is delayed or skipped
  • Poor posture in sitting
  • Weak head-spine rhythm

🔸 4. Moro Stays Triggerable Without Core Security

  • Reflex: Startle response to loss of support or unexpected stimuli
  • Problem: When the midline is unintegrated, the nervous system feels unsafe, even in calm
  • Result:
  • Overreaction to noise or touch
  • Stress during rolling or floor time
  • High emotional reactivity, sleep disturbance 

🔸 5. Palmar Reflex Becomes a Crutch

  • Reflex: Automatic hand grip to stimulation
  • Problem: If the system doesn't feel organized from the spine out, hands become the fallback
  • Result:
  • Overgripping objects instead of exploring
  • Delayed pincer grasp and finger isolation
  • Emotional regulation through gripping or fisting
     

🧩 Summary:

Without midline:
  • Reflexes stay dominant
  • Voluntary control is delayed
  • Movement becomes compensation, not progression
  • The system works harder but gets less done
     

✅ Practitioner Interpretation:

 
"The reflex isn't the problem — the lack of structural coherence is.
Midline brings the system into relationship with itself. Only then can reflexes recede and skills emerge."
 
Learn more: https://www.movementlesson.academy/
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