Development of the children's primitive reflex integration assessment scale

ObjectiveNon-integrated primitive reflexes (PRs) in children can lead to issues in motor function and psychological wellbeing, while prior studies have shown correlations between PR integration and neurodevelopmental disorders in children. However, measurement methods for PR integration remain unest...

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Main Authors: Meng Wang, Jing Yu, Hongyao Li, Chongran Zhao, Yichao Li, Xinyue Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1495990/full
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author Meng Wang
Jing Yu
Hongyao Li
Chongran Zhao
Yichao Li
Xinyue Yang
author_facet Meng Wang
Jing Yu
Hongyao Li
Chongran Zhao
Yichao Li
Xinyue Yang
author_sort Meng Wang
collection DOAJ
description ObjectiveNon-integrated primitive reflexes (PRs) in children can lead to issues in motor function and psychological wellbeing, while prior studies have shown correlations between PR integration and neurodevelopmental disorders in children. However, measurement methods for PR integration remain unestablished. Therefore, in the present study, we describe the development of a measurement scale for PR integration, a novel assessment tool to evaluate PR integration in children.MethodsCombining a literature review, practical experience, and results of specialized group discussions, a preliminary draft of the Children's Primitive Reflex Integration Measurement Scale (CPRIMS) was formulated. Employing a convenience sampling method, participants were selected from first and second-grade students in three primary schools in Liaoning province, Shenyang city, from May to July 2023. Item Discrimination Method (IDM), Critical Ratio Method (CRM), and Internal Consistency Coefficient Method (ICCM) were used for item analysis of pilot testing data. For formal testing data, Cronbach's α assessed the reliability of the scale, while fit indices such as chi-square value/degrees of freedom (χ2/df), Root Mean Square Error of Approximation (RMSEA), and Comparative Fit Index (CFI), along with tests of construct validity, evaluated the scale's validity.ResultsOverall, 555 participants were selected, 234 children with a mean age of 7.59 ± 0.71 years participated in the pilot testing, while 321 children with a mean age of 7.73 ± 0.71 years participated in the formal testing. CPRIMS comprises seven dimensions and seventeen items, including the Moro reflex (MR), Asymmetrical Tonic Neck Reflex (ATNR), Symmetrical Tonic Neck Reflex (STNR), Tonic Labyrinthine Reflex (TLR), Spinal Galant Reflex (SGR), Spinal Perez Reflex (SPR), and Landau Reflex (LR), explaining 88.2% of the total variance. Confirmatory factor analysis revealed a good model fit (χ2/df = 1.631, RMSEA = 0.044, NFI = 0.950, CFI = 0.980, IFI = 0.932, TLI = 0.972). Cronbach's α coefficients for the seven dimensions ranged from 0.730 to 0.945, demonstrating strong reliability.ConclusionCPRIMS, which includes dimensions such as MR, ATNR, STNR, TLR, SGR, SPR, and LR, demonstrates strong reliability and validity, indicating that this measure could serve as a reliable and effective tool for assessing the integration levels of PRs in children aged 6 to 9 years old.
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spelling doaj-art-6fccc75c1e9e433e92fb9764704a7f832025-01-22T07:15:09ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011610.3389/fpsyg.2025.14959901495990Development of the children's primitive reflex integration assessment scaleMeng Wang0Jing Yu1Hongyao Li2Chongran Zhao3Yichao Li4Xinyue Yang5College of Sports Science, Shenyang Normal University, Shenyang, ChinaCollege of Sports Science, Shenyang Normal University, Shenyang, ChinaCollege of Sports Science, Shenyang Normal University, Shenyang, ChinaMartial Arts and Dance Academy, Shenyang Sport University, Shenyang, ChinaDepartment of Physical Education, Keimyung University, Daegu, Republic of KoreaCollege of Sports Science, Shenyang Normal University, Shenyang, ChinaObjectiveNon-integrated primitive reflexes (PRs) in children can lead to issues in motor function and psychological wellbeing, while prior studies have shown correlations between PR integration and neurodevelopmental disorders in children. However, measurement methods for PR integration remain unestablished. Therefore, in the present study, we describe the development of a measurement scale for PR integration, a novel assessment tool to evaluate PR integration in children.MethodsCombining a literature review, practical experience, and results of specialized group discussions, a preliminary draft of the Children's Primitive Reflex Integration Measurement Scale (CPRIMS) was formulated. Employing a convenience sampling method, participants were selected from first and second-grade students in three primary schools in Liaoning province, Shenyang city, from May to July 2023. Item Discrimination Method (IDM), Critical Ratio Method (CRM), and Internal Consistency Coefficient Method (ICCM) were used for item analysis of pilot testing data. For formal testing data, Cronbach's α assessed the reliability of the scale, while fit indices such as chi-square value/degrees of freedom (χ2/df), Root Mean Square Error of Approximation (RMSEA), and Comparative Fit Index (CFI), along with tests of construct validity, evaluated the scale's validity.ResultsOverall, 555 participants were selected, 234 children with a mean age of 7.59 ± 0.71 years participated in the pilot testing, while 321 children with a mean age of 7.73 ± 0.71 years participated in the formal testing. CPRIMS comprises seven dimensions and seventeen items, including the Moro reflex (MR), Asymmetrical Tonic Neck Reflex (ATNR), Symmetrical Tonic Neck Reflex (STNR), Tonic Labyrinthine Reflex (TLR), Spinal Galant Reflex (SGR), Spinal Perez Reflex (SPR), and Landau Reflex (LR), explaining 88.2% of the total variance. Confirmatory factor analysis revealed a good model fit (χ2/df = 1.631, RMSEA = 0.044, NFI = 0.950, CFI = 0.980, IFI = 0.932, TLI = 0.972). Cronbach's α coefficients for the seven dimensions ranged from 0.730 to 0.945, demonstrating strong reliability.ConclusionCPRIMS, which includes dimensions such as MR, ATNR, STNR, TLR, SGR, SPR, and LR, demonstrates strong reliability and validity, indicating that this measure could serve as a reliable and effective tool for assessing the integration levels of PRs in children aged 6 to 9 years old.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1495990/fullprimitive reflexeschildrenmotor function disordercognitive psychologyneurodevelopmental disorder
spellingShingle Meng Wang
Jing Yu
Hongyao Li
Chongran Zhao
Yichao Li
Xinyue Yang
Development of the children's primitive reflex integration assessment scale
Frontiers in Psychology
primitive reflexes
children
motor function disorder
cognitive psychology
neurodevelopmental disorder
title Development of the children's primitive reflex integration assessment scale
title_full Development of the children's primitive reflex integration assessment scale
title_fullStr Development of the children's primitive reflex integration assessment scale
title_full_unstemmed Development of the children's primitive reflex integration assessment scale
title_short Development of the children's primitive reflex integration assessment scale
title_sort development of the children s primitive reflex integration assessment scale
topic primitive reflexes
children
motor function disorder
cognitive psychology
neurodevelopmental disorder
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1495990/full
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