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is persistence of reflexes good?
no... may indicate neurological patterns
3 types of postural reactions
- righting reactions
- equilibrium reactions
- protective reactions
sucking and rooting reflexes
stimulus: touch roof of mouth / stroke corner of cheek
response: sucking / turn towards side stimulated
integrates: 5 months / 3 months
(eye-mouth coordination)
flexor withdrawal reflex
stimulus: pain of sole of foot
response: pull LE into flexion
integrates: 1-2 months
crossed extension reflex
stimulus: pain to sole of foot (but hold LE so it doesn't flex)
response: extension and add of opposite leg
integrates: 1-2 months
positive support reflex
stimulus: balls of feet contact support surface
response: legs extend to bear weight
integrates: 1-2 months
stepping reflex
stimulus: when held upright, touch feet to surface
response: rhythmic stepping
integrates: 3-4 months
(walking)
galant reflex
stimulus: ventral suspension, stroke paraspinals
response: lateral flexion towards stroked side
integrates: 3 months (inconsistent because of WB)
(crawling and walking)
moro reflex
stimulus: head drops back (startled)
response: abd/extension of limbs followed by add/flexion
integrates: 3-6 months
(midline control)
ATNR reflex
stimulus: turn head to side
response: extend on side head is turning towards, flex on opposite
integrates: 4-5 months
(hand-eye coordination)
palmar and plantar reflex
stimulus: touch palm of hand or ball of feet
response: hand closes or toes flex
integrates: 4-7 months (palmar), 9 months (plantar)
tonic labyrinthe reflex
stimulus: prone or supine
response: prone = flex up, supine = extend
integrates: 4 months
landau reflex
stimulus: ventral suspension
response: superman
integrates: 12-24 months
(coordination of UE/LE)
symmetric tonic neck reflex (STNR)
stimulus: flex or extend head in supported sitting
response: UE do what head does, LE does opposite
integrates: 8-12 months
(head-body postural control)
parachute reflex
stimulus: support child in prone and lower towards ground
response: extend arms with open hands
integrates: doesn't .... protective reaction that remains
babinski reflex
stimulus: stroke lateral side of sole
response: toes fan out
integrates: 2 years
labyrinthine righting reflex
- tilt infant in vertical suspension with eyes covered
- orient head to vertical
optical righting reflex
- tilt infant in vertical suspension with eyes open
body righting reflex on head (BOH)
- body contacts surface
- lifts head away from surface
NOB vs BOB reflex
NOB = neck righting reflex
- turn head of infant in supine
- baby turns body towards head
BOB = body righting reflex
- bring leg over body
- upper body will follow the leg in a log roll fashion
protective extension reflex (what are the positions)
- forward
- sideways
- backwards
what fine motor skills integrate newborn-2 months? (1)
grasp
what fine motor skills integrate 3-4 months (1)
voluntary grasp (palmar)
what fine motor skills integrate 5 months? (1)
transfer hand to hand
what fine motor skills integrate 6 months? (1)
raking grasp
what fine motor skills integrate 7 months? (1)
point with index finger
what fine motor skills integrate 8 months? (3)
- banging cubes
- radial digital grasp
- voluntary release
what fine motor skills integrate 10-12 months? (3)
- pincer grasp
- 3 jaw chuck
- bimanual tasks