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Peds test 1

212: Primitive reflexes

reflex integration a movement-based program that helps improve the neurological foundations of sensory-motor development, and the linking up of the brain, using the gentle developmental movements that every baby and infant should learn to make.
non-integrated reflexes - A reflex that outstays its welcome
what might an unintegrated reflex signal? - unintegrated reflex may signal that baby's CNS is damaged, - may also show that this system hasn't taken over sufficiently for the reflex to become a voluntary motor movement.
crossed extension reflex stimulus Pressure to sole of the foot w/LE held in extension. Test both LE
crossed extension reflex response Flexion, ADD, and then extension of the contralateral LE
when should crossed extension reflex integrate? 1-2 months
flexor withdrawal stimulus Noxious stimuli (pin prick or pinch) to the sole of the foot
flexor withdrawal response Withdrawal of stimulated leg. Test both LE
when should flexor withdrawal integrate 1-2 months
galant reflex stimulus Gently stroke along paraspinals on one side
Galant Reflex Response Lateral trunk flexion on the same side as the stimulus
when should Galant reflex integrate 2-3 months
proprioceptive placing reflex stimulus Pressure to the dorsum of foot/hand, press on edge of a table
proprioceptive placing reflex response Flexion of the extremity above the stimulus followed by extension to maintain position.
when should proprioceptive placing reflex integrate? 2 months
neonatal positive support reflex stimulus Firm pressure to the sole of the foot
neonatal positive support reflex response Co-contraction of LE flexors and extensors, full weight bearing, extended hips & knees
when should neonatal positive support reflex integrate 2 months
suck-swallow reflex placing a finger in infants mouth should result in rhythmical sucking
when should suck-swallow reflex integrate? 2-5 months
rooting reflex stimulus brush finger along side of face, lips to cheek
rooting reflex response turning head to same side with mouth open
when should rooting reflex integrate 3 months
ATNR stimulus Turn head slowly to one side and hold with the jaw over the shoulder
ATNR response Arm on jaw side extend, arm on skull side flex
when does ATNR (asymmetrical tonic neck reflex) begin birth-2 months
When does ATNR integrate? 4-6 months
palmar grasp reflex placing index finger into infants hand from ulnar side causes flexion of fingers around examiners finger
when does palmar grasp reflex begin birth-2 months
when does palmar grasp reflex integrate 4-7 months
moro reflex stimulus From supported position allow head to drop 20-30 degrees, stretching neck muscles
moro reflex response ABD of UE with extension of elbows, wrists and fingers followed by ADD, flexion & cry
When does the moro reflex integrate? 5-6 months
Tonic Labyrinthine Reflex place baby in prone or supine, prone positioning will cause flexor tone, supine positioning will cause extensor tone
when does tonic labyrinthine reflex integrate? 6 months
Plantar Grasp Reflex pressure applied to ball of foot under toes causes flexion of toes around examiners finger
when does plantar grasp reflex integrate? 9 months
STNR (symmetrical tonic neck reflex) stimulus Examiner passively flexes and extends the head and neck
STNR response Flexion of the head and neck cause UE flexion and LE extension. Extension of head and neck cause UE extension and LE flexion
when does STNR reflex appear 4-6 months
When does the STNR reflex integrate? 8-12 months
landau reflex holding baby in prone suspension will result in Progressive extension starting with the neck, then back, then hips
When does the landau reflex appear? 4 months
When does the Landau reflex integrate? 18 months
Created by: bdavis53102
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