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Neurodevelopmental Delays in Children — Signs, Causes & How Occupational Therapy Can Help

· by Sensory Therapy Place

Neurodevelopmental Delays in Children — Signs, Causes & How Occupational Therapy Can Help

Pediatric OT · Neurodevelopmental Foundations · Brewer, Maine

What is neurodevelopment? And how do you know if your child needs support?

By Earl Mamaril, MS, OTR/L — a pediatric OT's guide to how the brain develops, why movement is its foundation, and the signs that tell us a child may benefit from a neurodevelopmental evaluation.

What is neurodevelopment?

Neurodevelopment is the incredible journey of a child's brain as it grows, matures, and builds the foundations for everything they'll do — think, feel, move, and connect. From the moment of conception through adolescence (and even into adulthood), the brain forms neurons, weaves intricate neural connections, and fine-tunes its structure. This process is what allows a baby to go from reflexive kicks to purposeful steps, from coos to conversations, from simple emotions to complex relationships.

In our Brewer, Maine clinic, we see neurodevelopment as a roadmap. When it unfolds smoothly, kids hit milestones like grasping toys, stacking blocks, sharing with friends. When there are bumps — delays or differences — that's where pediatric occupational therapy steps in.

Why movement is a game-changer

If our clinical team could shout one thing from the rooftops, it would be this: movement is the foundation of brain development. It's not just burning energy. Movement is how kids wire their brains for learning and life. When a child crawls, climbs, or dances, they're sparking neural connections that fuel problem-solving, emotional regulation, language, and focus.

Think about a baby rolling over for the first time. That isn't just cute — it's activating reflexes and building pathways the brain will use for the rest of the child's life. As Carla Hannaford writes in Smart Moves, learning isn't just a head game. It's a whole-body experience.

For children with developmental differences — autism, ADHD, sensory processing challenges — movement can be a lifeline. Our team draws from reflex integration work pioneered by Dr. Svetlana Masgutova and others, using specific movement patterns to support nervous system maturation. Learn more about primitive reflex integration →

Nature and nurture: partners in development

A question parents ask us often: "Is it genetics or how we raise them?" The honest answer is both. Development is a dance between the genes a child inherits and the world they grow up in. Genetics hand over the blueprint — maybe a knack for music, a tendency toward shyness, a risk factor for sensory differences. But the environment — playtime, nutrition, love, stress, predictability — decides how that blueprint gets built.

We see this interplay every day. A child with a genetic predisposition for motor delays can catch up beautifully in a home rich with encouragement and movement. A child with every genetic advantage can struggle if they spend hours in car seats and screens, missing out on the sensory experiences the brain needs. Studies consistently show that children in stimulating environments — books, songs, messy play, outdoor time — develop stronger cognitive and emotional skills.

Why neurodevelopmental differences are showing up more often

Families often ask, "Why does autism, ADHD, and sensory processing differences seem so common now?" There isn't one simple answer.

First, awareness and diagnosis have grown. A child who would have been labeled "quirky" or overlooked twenty years ago is now identified and supported. Better screening and broader diagnostic criteria mean we're catching more cases — approximately 1 in 36 children in the US is diagnosed with autism, according to the CDC.

But there's more to the story. Socioemotional factors matter too. Stress and trauma in early life shape how the brain develops, sometimes producing the sensory sensitivities and social challenges we see in autism spectrum diagnoses. Dr. Gabor Maté and others have written extensively about how early stress leaves lasting imprints on a child's nervous system. Modern shifts — more screen time, less free play, environmental exposures — are part of the picture too.

Genetics remain a major piece, but they're not the whole story. We tell families: it's like planting a seed. The seed matters, but so do the soil, water, and sunlight. In our clinic, we focus on what we can nurture — movement, connection, regulated environments — to help every child grow.

What this looks like in our Brewer clinic

How we use this framework with the families we serve:

  • Movement-based therapy — bouncing on therapy balls, climbing, swinging, reflex integration sequences — to build the neural foundations your child's brain is asking for. For a child with autism, this might mean calming an overactive Moro reflex to ease sensory overload.
  • Parent coaching — we teach families how to weave movement and sensory regulation into daily life. Park playdates, nature walks, kitchen tasks, simple home routines. Nurture in action.
  • Holistic, regulated environments — our therapy spaces are designed to feel safe and predictable. The nervous system grows best when it isn't bracing for threat.

Signs your child may benefit from a neurodevelopmental evaluation

  • Missed motor milestones — not crawling, late walking, awkward coordination
  • Sensory overwhelm — clothing tags, loud noises, food textures, transitions
  • Emotional dysregulation disproportionate to triggers
  • Persistent retained reflexes — toe walking, W-sitting, fidgeting, handwriting struggles
  • Picky eating, oral sensory seeking, sleep difficulties
  • Your instinct that something is different

If two or more of these resonate, a pediatric OT evaluation can give you a clear neurodevelopmental map and a plan you can start using that week. Read more: 10 signs your child may benefit from OT →

Ready to support your child's neurodevelopment?

A pediatric OT evaluation at our Brewer clinic gives you a clear map of where your child is and what they need next.

Earl Mamaril, MS, OTR/L is the founder of Sensory Therapy Place, a pediatric occupational therapy clinic in Brewer, Maine. He works with families in-clinic and via telehealth nationwide.

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