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Testing Head Righting Reflexes (Ocular and Labyrinthine Head Righting Reflexes)

The Ocular (OHRR) and Labyrinthine Head Righting reflexes (LHRR) are postural reflexes aimed at maintaining a head neutral position regardless of body position. Typically developing within the first 6 months of life, the OHRR and LHRR are dependant on proper neck muscle development for action. Without this neck development, the child will have difficulty with postural adaptations and progressions which may impact further on other postural reflexes developing or primitive reflexes inhibiting. A great example of this can be with sitting; underdevelopment of the OHRR and LHRR may disrupt the parachute reflex response, causing a child to not "catch" themselves upon falling. This will instead activate and propogate the Moro response, and may lead to developing anxiety behaviours or a "clingy baby", especially when trying to change their position from upright to laying down. Underdevelopment of the Head Righting Reflexes into older childhood and adulthood may also have an impact on balance and associated eye movements. When an older child or adult has a subconscious difficulty with balance, we may also see underlying anxiety or panic disorder behaviours become apparent.