Reflexes Flashcards

1
Q

Assymetrical Tonic Neck Reflex (ATNR)

A
  • “Fencer’s pose”
  • When head is turned to one side, arm and leg on face side extend and arm and leg on scalp side flex.
  • Normal age: Birth - 6mo
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2
Q

Abnormal Persistence of ATNR

A
  • Visual tracking
  • Rolling
  • Development of crawling
  • Leads to skeletal deformities (scoliosis, hip subluxation/dislocation)
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3
Q

Symmetrical Tonic Neck Reflex (STNR)

A
  • When head is flexed, arms flex and legs extend.
  • When head is extended, arms extend and legs flex.
  • Normal Age: 6-12mo
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4
Q

Abnormal Persistence of STNR

A
  • Ability to prop on arms in prone
  • Attaining and maintaining quadruped
  • Reciprocal crawling
  • Sitting balance when looking around
  • Use of hands when looking at object in hands in sitting
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5
Q

Tonic Labyrinthine Reflex (TLR)

A
  • When baby is tilted head stays upright.
  • In supine, body and extremities are held in extension.
  • In prone, bod and extremities are held in flexion.
  • Normal age: Birth - 6mo
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6
Q

Abnormal Persistence of Tonic Labyrinthine Reflex

A
  • Ability to initiate rolling
  • Ability to prone prop on elbows with extended hips
  • Ability to flex trunk and hips to come to sitting from supine
  • Full body extension interferes with sitting and standing balance
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7
Q

Galant Reflex

A
  • Touch to skin along one side of spine from shoulder to hip produces lateral flexion to side of stimulus
  • Normal age: 30 weeks gestation - 2mo
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8
Q

Abnormal Persistence of Galant Reflex

A
  • Development of sitting balance
  • Can lead to scoliosis
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9
Q

Palmar Grasp Reflex

A
  • Pressure to palm on ulnar side of hand produces finger flexion and strong grip.
  • Normal age: Birth - 4mo
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10
Q

Abnormal Persistence of Palmar Grasp Reflex

A
  • Ability to grasp and release objects voluntarily
  • Weight bearing on open hand for propping, crawling, and protective responses
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11
Q

Plantar Grasp Reflex

A
  • Pressure to base of toes produces toe flexion
  • “Bird on a stick”
  • Normal age: 28 weeks gestation - 9mo
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12
Q

Abnormal Persistence of Plantar Grasp Reflex

A
  • Ability to stand with feet flat on surface
  • Balance reactions and weight shifting in standing
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13
Q

Rooting Reflex

A
  • Touch on cheek produces head rotation to same side with mouth open
  • Normal age: 28 weeks gestation - 3mo
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14
Q

Abnormal Persistence of Rooting Reflex

A
  • Oral-motor development
  • Development of midline control of head
  • Optical righting, visual tracking, and social interaction
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15
Q

Moro Reflex

A
  • Head suddenly dropping in extension produces cry and arm abduction with fingers open, then arms cross trunk into adduction.
  • Normal age: 28 weeks gestation - 5mo
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16
Q

Abnormal Persistence of Moro Reflex

A
  • Balance reactions in sitting
  • Protective responses in sitting
  • Eye-hand coordination
  • Visual tracking
17
Q

Startle Reflex

A
  • Loud, sudden noise produces cry and arms up, elbows stay flexed and fingers closed.
  • Normal age: 28 weeks gestation - 5mo
18
Q

Abnormal Persistence of Startle Reflex

A
  • Sitting balance
  • Protective responses in sitting
  • Eye-hand coordination
  • Visual tracking
  • Social interation
19
Q

Positive Support Reflex

A
  • Weight placed on balls of feet when upright produces stiffening of trunk and legs into extension
  • Normal age: 35 weeks gestation - 2mo
20
Q

Abnormal Persistence of Positive Support Reflex

A
  • Standing and walking
  • Balance reactions and weight shift in standing
  • Can lead to plantar flexion contractures
21
Q

Walking (Stepping) Reflex

A
  • Supported upright position with soles of feet on firm surface produces reciprocal flexion and extension of legs
  • Normal age: 38 weeks gestation - 2mo
22
Q

Abnormal Persistence of Stepping Reflex

A
  • Standing and walking
  • Balance reactions and weight shifting in standing
  • Development of smooth, coordinated reciprocal movements of LEs