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Ped Reflex testing

pediatric reflex testing

Survival Reflexes •Eye Blink •Pupillary •Breathing •Gag •Rooting (birth to 3 months) •Suck / Swallow (birth to 2-5 mo, then voluntary)
ROOTING REFLEX: Age: Functional Significance: birth - 3 mo When the infant’s cheek is stroked, he will turn the head and direct the mouth toward that side Functional significance - persistence can interfere with sucking. Absence of this is seen in neurologically impaired infants
SUCK SWALLOW REFLEX Age: Functional Significance: birth - 2-5 months place a finger / nipple into the infant’s mouth and we would see rhythmical sucking Functional significance - persistence of this reflex may inhibit voluntary sucking
TRACTION RESPONSE Age: Functional Significance: birth - 2-5 mo When holding wrists & pulling to a sitting position from supine the shoulders and arms flex/elevate Functional significance- enables the child to hold onto the mother & helps stabilize the head before the child has voluntary head control
GALANT’S RESPONSE Age: Functional Significance: birth - 3-6 mo In prone position, when stroked on one side of the trunk/back there is lateral flexion toward that side Functional significance - often seen with children with athetoid CP
STEPPING REFLEX Age: Functional Significance: birth - 4 mo When the infant is supported with feet on the floor, she will “step” with one foot at a time, as if walking Functional significance - premature infants will tend to walk in a toe-heel while more mature infants will walk in a heel-toe
MORO REFLEX Age: Functional Significance: birth - 4-6 mo “Startle” Reflex & Is decreased in prone position. the shoulders abduct, the elbows, wrists and fingers extend. Functional significance - asymmetry during this reaction may indicate a brain injury or peripheral nerve problems to the UE
PALMAR GRASP Age: Functional Significance: birth - 4-6 mo Pressure to the palm elicits grasp. Gently stroking medial side of hand opens the hand Functional significance -following the development of grasp, the infant begins to reach for objects and utilizes a crude palmer grasp to hold them
PLANTAR GRASP Age: Functional Significance: birth - 4-9 mo Pressure to the ball of the foot elicits toe flexion Functional significance - Integrates at the same time that independent gait first becomes possible.
BABINSKI Age: Functional Significance: birth - 8-12 mo Gently stroking the sole or side of the foot & toes fan apart in abduction and big toe extend up and out Functional Significance - In infants under-developed or immature CNS With an Adult it indicates severe damage to the CNS
LANDAU Age: Functional Significance: 3-4 mo - 12-24 mo “Superman” reflex When suspended in prone position then the head raises and legs extend. When head is moved into flexion the legs drop down Functional significance - breaks up the total flexion pattern seen at birth
(ATNR) ASSYMETRICAL TONIC NECK REFLEX Age: Functional Significance: birth - 4-6 mo Head turned to side then ipsilateral (same side) arm and leg extension, contralateral (opposite side) arm and leg flexion Functional significance - persistence of this reflex may indicate CNS damage
(STNR) SYMMETRICAL TONIC NECK REFLEX Age: Functional Significance: birth - 4-6 mo child in quadruped position on the floor. Neck extension gets LE flexion, UE extension. A neck flexion gets LE extension, UE flexion Functional significance - necessary to achieve crawling
(TLR) TONIC LABYRINTHINE REFLEX Age: Functional Significance: birth - 4-6 mo prone - flexor tone will dominate(BALL UP); supine - extensor tone (ARMS & legs) Functional significance - persistence of TLR will impede activities which require graded coactivation of flexor and extensor muscles
NECK RIGHTING ON THE BODY (NOB) Age: Functional Significance: birth - 4-6 mo When head is turned, body turns in the same direction head Functional significance - early in development the infant uses NOB in order to transition between supine, sidelying, and eventually prone
BODY RIGHTING REACTION (BOB) Age: Functional Significance: birth - 4-5 mo When one segment of the body is turned, the rest of the body turns the same direction Functional significance - this reflex assists the child in rolling between supine and prone
LABYRINTHINE OPTICAL RIGHTING Age: Functional Significance: birth - 2 mo When body is tilted to one side, the head tilts the opposite direction to keep the head upright Functional significance - allows the body to turn freely around the head
TILTING REACTION Age: Prone – 5-6 mo through life Supine – 5-6 mo through life Sitting tilting – 7-8 mo through life Standing tilting – 12-21 mo through life functional signif: inner ear needed for balance
PARACHUTE - PROTECTIVE EXTENSION Age: Functional Significance 6-9 mo - persists through life forward / backward / sideward / downward arms extend out and legs if necessary to protect the head
Created by: Danielle Carson Peronto Danielle Carson Peronto on 2012-09-01

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