Early Applications of Vojta Ratings

  The early diagnosis of central coordination disorder mainly uses Vojta assessment, and there are three aspects as follows: ① Postural autonomic response assessment: normal infants have the ability to respond to changes in the position of the body in space, called postural response, which is formed at birth and has different responses at different months of age, and it is achieved through central nervous coordination; abnormal postural response indicates the presence of brain injury However, these abnormalities do not constitute a diagnostic condition for brain injury, but are only the early manifestations of these brain injury disorders. If not treated, they may develop into cerebral palsy of different degrees or delayed and impaired neuropsychological development.  ②Autonomous motor abilities: At each stage of normal development, infants are characterized by autonomous responses to outcomes, such as orientation and mobile movements, and these basic needs induce the implementation of mobile strategies to autonomously respond to the emergence of instantaneous postural regulation; the originality of Vojta therapy is the clear definition of mobile movements based on the main concepts of human kinematics, in which the optimal developmental stages of postural regulation, the polygonal support structures, and motor characteristics have also been precisely defined, in addition to pointing out the numerous individual differences and the differences between the underlying postural components for use in systematic studies and for comparison with possible pathological deformations, etc.  (iii) Presence of abnormal reflexes: The postural reflexes allow to determine the age of the infant’s postural response, from which developmental delays and abnormal responders can be determined, thus confirming the diagnosis of central coordination disorder or cerebral palsy.  Vojta’s postural reflex examination, including its method of elicitation, response, and voluntary movements, can be used for early diagnosis. The reflex is present at birth, but is not yet perfect, and will continue to improve as the brain and midbrain cortex continue to develop and mature, and as the upright and balance responses emerge.