Pediatric Reflexes - (NPTE)

Asymmetrical Tonic Neck Reflex (ATNR)

(Pediatric Reflexes)

Stimulus: head position, turned to one side

Response:

- Ipsilateral arm and leg --> Extended

- Contralateral arm and leg --> Flexion

Integration: birth to 6mo

Symmetrical Tonic Neck Reflex (STNR)

(Pediatric Reflexes)

Stimulus: head position, flexion or extension

Response:

- head flex --> arms flexed; legs extended

- head ext --> arms extended; legs flexed

Integration: 6-8mo

Tonic Labyrinthine Reflex (TLR)

(Pediatric Reflexes)

Stimulus: body position, supine or prone

Response:

- supine --> body and extremities: extension

- prone --> body and extremities: flexed

Integration: birth to 6mo

birth to 6mo

(Pediatric Reflexes)

Integration for ATNR and TLR

6-8mo

(Pediatric Reflexes)

Integration for STNR

Galant Reflex

(Pediatric Reflexes)

Stimulus: touch to skin along spine from shoulder to hip

Response: lateral flexion of trunk to side of stimulus

Integration: 30wks to 2mo

Palmar Grasp Reflex

(Pediatric Reflexes)

Stimulus: pressure in palm on ulnar side of hand

Response: flexion of fingers causing strong grip

Integration: birth to 4mo

Plantar Grasp Reflex

(Pediatric Reflexes)

Stimulus: pressure to base of toes

Response: toe flexion

Integration: 28wks to 9mo

Rooting Reflex

(Pediatric Reflexes)

Stimulus: touch on cheek

Response: turning head to same side with mouth open

Integration: 28wks-3mo

MORO Reflex

(Pediatric Reflexes)

Stimulus: head dropping into extension suddenly for a few inches

Response: arms abduct with fingers open, then cross trunk into adduction with cry

Integration: 28wks to 5mo

Startle Reflex

(Pediatric Reflexes)

Stimulus: loud, sudden noise

Response: (similar to Moro Reflex); elbows remain flexed and hands closed

Integration: 28wks to 5mo

Positive Support Reflex

(Pediatric Reflexes)

Stimulus: weight placed on balls of feet when upright

Response: stiffening of legs and trunk into extension

Integration: 35wks to 2mo

Walking (stepping) Reflex

(Pediatric Reflexes)

Stimulus: supported upright with soles of feet on firm surface

Response: reciprocal flexion/extension of legs

Integration: 38wks to 2mo

0-3mo (developmental milestones)

(Developmental Milestones)

"Tummy Time" - Prone

4-6mo (developmental milestones)

(Developmental Milestones)

"Starting to Sit* - Requires support

7-9mo (developmental milestones)

(Developmental Milestones)

Sitting UNSUPPORTED; clapping

10-12mo (developmental milestones)

(Developmental Milestones)

Exploring upright; beginning to stand

5-7mo (pediatric equilibrium reactions)

(Pediatric Equilibrium Reactions)

Prone

7-11mo (pediatric equilibrium reactions)

(Pediatric Equilibrium Reactions)

Supine

7-8mo (pediatric equilibrium reactions)

(Pediatric Equilibrium Reactions)

Sitting

12-21mo (pediatric equilibrium reactions)

(Pediatric Equilibrium Reactions)

Standing

6mo-1yr (protective reactions)

(Protective Reactions)

Protective sitting reactions

5-7mo

(Protective Reactions)

Lateral propping - while sitting