Unlocking Long-Term Athletic Success: Addressing Primitive Reflexes and Postural Imbalance
Primitive reflexes are innate, adaptive responses that develop during the neonatal period to support survival and early motor development. These reflexes should integrate or “fade” as the brain matures, allowing for advanced motor patterns and voluntary control. When reflexes persist beyond infancy, they disrupt posture, movement patterns, and coordination, often hindering foundational skills like creeping, crawling, and symmetrical movement.
Retained reflexes can create a cascading effect on the body, similar to a car misalignment causing uneven wear and tear. This dysfunction disrupts proper force production pathways, leading to joint imbalances, tissue strain, and compensatory movement patterns. Addressing these issues holistically can prevent long-term complications and restore proper motor coordination and balance.
Key notes
The Danger of Skipping Foundational Steps
In today’s fast-paced culture, there is often a temptation to accelerate athletic development, skipping foundational stages due to perceived superior talent or physical ability. However, rushing through these critical developmental stages can lead to retained primitive reflexes, improper motor patterns, and long-term imbalances. While young athletes may appear to excel initially, skipping these steps often results in injury, compromised performance, and chronic issues down the line.
Athleticism built on unstable foundations is akin to constructing a house on shaky ground—it may hold for a while, but it cannot withstand the test of time. My approach prioritizes long-term athletic outcomes, ensuring that every athlete develops a solid foundation of movement, balance, and strength before progressing to advanced skills. By addressing reflex integration, postural imbalances, and proper motor recruitment early, we set the stage for sustainable growth, injury prevention, and peak performance over the long term.
Feet and Posture: The Cornerstones of Movement
Feet and posture are the cornerstone of functional movement. They dictate how the body aligns, moves, and adapts over time. Small, isolated interventions, like performing leg raises to target a weak lower core, are insufficient for addressing systemic imbalances. Instead, an integrated, whole-body approach is essential to retrain posture, movement patterns, and reflex integration.
For example, addressing low cross syndrome, which often presents as anterior pelvic tilt, requires comprehensive strategies to reset the imbalances affecting the pelvis, core, and lower body. Corrective strategies involve holistic interventions targeting the entire body rather than isolated exercises.

The Neuroscience Behind Reflex Integration
Primitive reflexes are governed by the brainstem, the most primitive part of the brain. As the central nervous system develops, higher-level brain structures, such as the cortex, begin to override these reflexes, allowing for voluntary movement. When this process is disrupted, primitive reflexes remain active, interfering with motor coordination and leading to compensatory movement patterns.
For example:
- Retained ATNR: Creates asymmetrical patterns in head-turning, arm extension, and leg alignment, contributing to posture imbalances and muscle asymmetry.
- Retained Tonic Labyrinthine Reflex (TLR): This reflex affects overall tone and balance, leading to hyperextension or flexion in the body.
- Retained Spinal Galant Reflex: Contributes to lateral postural imbalances and difficulties in stabilization.

Intervention focuses on neuromuscular re-education, including targeted exercises, sensory-motor integration, and postural retraining. These strategies help the nervous system “reset,” fostering the integration of reflexes and the development of functional movement patterns.
Why This Matters
Postural imbalances and retained reflexes are not just physical challenges—they can impact daily function, athletic performance, and even long-term joint health. By addressing these issues holistically and from a neurological perspective, individuals can achieve better movement, less pain, and improved overall well-being.
My mission is to ensure that every patient and athlete I work with develops the foundational movement skills they need for lifelong health and performance. By addressing these imbalances early, we prevent larger issues down the road and empower individuals to move confidently and efficiently throughout their live.
“Empowering Physcial Education Today to Elevate Performance Tomorrow.”-Dr. Blake Tobin DPT.