A new perspective on the motor function domain of concussion rehabilitation

Persistent post-concussion symptoms (PPCS) can include subtle motor impairments that often go unrecognized using current assessment methods. Emerging evidence suggests re-emerged primitive reflexes (PRs) may be associated with these impairments, yet the motor function domain remains underexplored in concussion rehabilitation. This review synthesizes recent literature on post-concussive motor function impairments and explores the integration of PR screening and Brain Body-Integration exercises in concussion rehabilitation. Relevant studies addressing sensorimotor processing, motor function, and PR integration in pediatric and adult populations were reviewed. Associations between PR re-emergence and impairments in coordination, sensorimotor integration, and balance in children/adolescents and older adults have been reported. Preliminary findings suggest targeted PR integration exercises may improve motor function and reduce PPCS. Although initial findings are encouraging, lack of controlled studies restricts causal interpretation. Integrating PR assessment and management into post-concussion care may enhance motor recovery, but further research is needed to validate protocols and determine efficacy.