Practical I Reflexes and Reactions Flashcards
Rooting position
Supine
Rooting stimulus
Light touch on side of face or near mouth
Rooting positive response
Opens mouth and turns head in direction of touch
Rooting age span
Birth to 3 months
Rooting lack of integration
Interferes with exploration of objects and head control
Rooting lack of development
Challenges with speech and eating
Sucking/swallowing position
Supine
Sucking/swallowing stimulus
Light touch on the mouth
Sucking/swallowing positive response
Closes mouth, sucks, and swallows
Sucking/swallowing age span
Birth to 2-5 months
Sucking/swallowing lack of integration
Interferes with sucking, swallowing, and breathing coordination
Sucking/swallowing lack of development
Challenges with feeding
Moro’s position
Supine
Moro’s stimulus
Dropping head
Example→ laying child down while supporting the head, then slightly extending it as they are put in the crib
Moro’s positive response
Arms extend and hands open, then arms flex and hands close, infant usually cries
Moro’s age span
Birth to 4-6 months
Moro’s lack of integration
Interferes with head control, sitting equilibrium, and protective reactions
Moro’s lack of development
Dislike of change or surprise, have no reaction when protecting themselves (fight or flight)
Palmar grasp position
Supine
Palmar grasp stimulus
Pressure on ulnar surface of palm (ring finger/pinky)
Palmar grasp positive response
Fingers flex
Palmar grasp age span
Birth to 4-6 months
Palmar grasp lack of integration
Interferes with releasing objects
Palmar grasp lack of development
Poor fine motor skills, grasp, and writing skills
Plantar grasp position
Supine
Plantar grasp stimulus
Firm pressure on ball of foot
Plantar grasp positive response
Toes grasp (flexion)
Plantar grasp age span
Birth to 4-9 months
Plantar grasp lack of integration
Interferes with putting on shoes due to toe crawling, gait, and standing or walking problems
Plantar grasp lack of development
Issues with protecting bottom of foot
Neonatal positive support position
Standing upright
Neonatal positive support stimulus
Being bounced several times on soles of feet
Neonatal positive support positive response
LE extensor tone increases and plantar flexion is present
Some hip and knee flexion (hyper extension may occur)
Neonatal positive support age span
Birth to 1-2 months
Neonatal positive support lack of integration
Interferes with walking patterns and leads to walking on toes
Neonatal positive support lack of development
Delays in the future with standing or balance
ATNR position
Supine, arms and legs extended, head in midposition
ATNR stimulus
Head turned to one side
ATNR positive response
Arm and leg on face side extend, arm and leg on skull side flex
ATNR age span
Birth to 4-6 months
ATNR lack of integration
Interferes with reaching and grasping, bilateral hand use, and rolling over
ATNR lack of development
Lack of eye-hand coordination for functional participation
STNR position
Quadruped
STNR stimulus (1)
Flexed head
STNR stimulus (2)
Extended head
STNR positive response (1)
Arms flex and legs extend
STNR positive response (2)
Arms extend and legs flex
STNR age span
Birth to 6-12 months
STNR lack of integration
Interferes with reciprocal crawling (move arms then legs)
Also interferes with walking
STNR lack of development
Not able to do many things functionally due to lack of head control
TLR position (1)
Supine, head in midposition
TLR position (2)
Prone
TLR stimulus
Arms and legs moved into flexion or extension
TLR positive response (1)
Extensor tone of neck, UE and LE increases when moved into extension
TLR positive response (2)
Flexor tone of neck, UE and LE increases when moved into flexion
TLR age span
Birth to 4-6 months
TLR lack of integration
Interferes with turning on side, rolling over, going from lying to sitting, and crawling
TLR lack of development
Trouble sitting up, developing head control, muscle tone, posture, and balance
Landau position
Prone, held in space supporting the chest
Landau stimulus
Suspension, also active or passive dorsiflexion of head
Landau positive response
Hips and legs extend, UE extends and abducts, elbows can flex
Landau age span
3-4 months to 12-24 months
Landau lack of integration
Slows development of prone extension, sitting, and standing
Early onset→ indicates excessive tone
Landau lack of development
Unable to break out of natural flexion that occurs at first or lift their head up to explore surroundings
Babinski position
Supine
Babinski stimulus
Firmly stroke foot lateral to medial
Babinski positive response
Big toe moves up and dorsiflexes, other toes fan out
Babinski negative response
Toes flex , foot dorsiflexes
Babinski positive age span
Birth to 12 - 24 months
Babinski negative age span
Life span
Babinski integration / development
Lack of integration → development issues
Positive response in adults → neurological damage
Protective extension UE → forward
Position → prone, arms extend
Stimulus → suspension by pelvis and sudden movement of head toward floor forward
Positive response → shoulder flexes and abducts, elbow and wrist extend to protect head
Protective extension UE → backward
Position → seated
Stimulus → child is pushed backward
Positive response → shoulders, elbows, and wrists extend backwards to protect head
Protective extension UE → sideways
Position → seated
Stimulus → child is pushed left or right
Positive response → shoulder abducts, elbow and wrist extend to the side
Protective extension UE age span
6-9 months
Protective extension UE lack of integration
Interferes with head protection when center of gravity displaced
Protective extension UE lack of development
Inability to stabilize or catch themselves
Stagger LE → forward
Position → standing upright
Stimulus → displacement of body by pushing on shoulders and upper trunk
Positive response → infant takes 1 step or less in direction of displacement, arms have a protective reaction (shoulder flexes)
Stagger LE → backward
Position → standing up right
Stimulus → displacement of body by pushing on shoulders and upper trunk
Positive response → infant takes 1 step or less in direction of displacement, arms have a protective reaction ( shoulder abducts and extends)
Stagger LE → sideways
Position → standing upright
Stimulus → displacement of body by pushing on shoulders and upper trunk
Positive response → infant takes 1 step or less in direction of displacement, arms have a protective reaction ( shoulder abducts)
Stagger LE age span
15-18 months
Stagger LE lack of integration
Interferes with ability to catch self when center of gravity displaced
Stagger LE lack of development
Higher risk for trips and falls
