Psychomotor patterning

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Glenn doman

Psychomotor Patterning is a therapeutic technique that is based on the premise that certain physical movement patterns are foundational to the development of cognitive functions and learning abilities. This approach is often associated with the treatment of learning disabilities, developmental delays, and brain injury rehabilitation. The theory behind psychomotor patterning suggests that by replicating the developmental stages of movement in infants, such as crawling or creeping, individuals can correct or improve neurological and cognitive deficits.

History[edit | edit source]

The concept of psychomotor patterning is rooted in the work of early 20th-century neurologists and psychologists who observed that human development follows a specific sequence of movements and that these movements are crucial for neurological development. The most notable figure in the development of psychomotor patterning techniques was Glenn Doman, a physical therapist, who, along with his colleagues at The Institutes for the Achievement of Human Potential, developed a series of exercises known as the Doman-Delacato techniques. These exercises aimed to facilitate the development of individuals with brain injuries and developmental disorders by mimicking the motor development stages of infants.

Methodology[edit | edit source]

Psychomotor patterning involves a series of exercises that are designed to replicate the natural progression of motor skills in infants. These exercises include activities such as crawling on the stomach, creeping on all fours, and other patterns of movement that are believed to stimulate brain development. The underlying hypothesis is that these movements activate and organize the brain's neural pathways, thereby enhancing cognitive function and learning capabilities.

Practitioners of psychomotor patterning work with individuals in a controlled environment, guiding them through these exercises in a repetitive and structured manner. The regimen is often intensive, requiring multiple sessions per week over an extended period.

Criticism and Controversy[edit | edit source]

Despite its popularity among some practitioners and families, psychomotor patterning has been met with significant criticism from the medical and scientific communities. Critics argue that there is a lack of empirical evidence supporting the efficacy of psychomotor patterning in treating learning disabilities or improving cognitive function. Several systematic reviews and meta-analyses have concluded that there is no scientific basis for the claims made by proponents of psychomotor patterning and that it should not be recommended as a treatment method.

Current Status[edit | edit source]

Today, psychomotor patterning is considered a controversial and largely discredited approach within mainstream medicine and psychology. Professional organizations, including the American Academy of Pediatrics and the American Academy of Neurology, have issued statements discouraging its use due to the lack of evidence supporting its effectiveness.

Despite the controversy, some practitioners and parents continue to advocate for psychomotor patterning, often citing anecdotal evidence of improvement. However, it remains a fringe therapy, with most experts recommending evidence-based interventions for developmental and cognitive disorders.


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Contributors: Prab R. Tumpati, MD