Reflexes And Milestones

Question 1

Clients head turns toward extended arm while opposing arm is flexed

7mo

Required for PC, separation of R/L side of body, GMC, FMC, MP, Coordination

If retained it can cause poor balance, decreased PC, decreased hw skills, inability to cross midline
Interventions: quad/WB activities, crossing midline activities, zombie marches, crawling while rotating head L/R and R/L

Answer 1

ATNR - asymmetrical tonic neck reflex

Question 2

Extension and flexion of the neck while in quad

Promotes balance, crossing midline, GMC, separation of UE/LE

9-12 mo

Activities to integrate: crawling, lizard, hand-eye ax, WB/quad

If retained can demonstrates signs of hyperactivity, “ape” hands, decreased muscle tone, clumsy

Answer 2

STNR - symmetrical tonic neck reflex

Question 3

“Startle” reflex

2-6 mo

Retained if extremities is ABduct when performed

Signs of retention = decreased balance sensitive, poor sleep, decreased focus/attention, motion sickness, easily startled

Activities to integrate: starfish, popcorn, proprioception, deep flexion activities, emotional regulation

Answer 3

MORO

Question 4

Neck flexion = LE/UE flexion
Neck extension = LE/UE extension

“Superman”

6w-3y; 3y and up

Promotes separation of UE/LE (body awareness), GMC, FMC, PC, MP, muscle tone

Signs of retention = clumsy, disinterest in sports, decreased GM/FM skills

Can be caused by trauma, stress during pregnancy, or substance abuse

(Think of O)

Answer 4

TLR and LANDAU

Question 5

Forward - 5-6 mo
Sideways - 7-8 mo
Backwards - 9-10

Extends UE when “pushed” forward, sideways, or backwards

Can impact MP, PC, body awareness

Answer 5

Protective extension reflex

Answer 6

Gross motor milestones

Answer 7

Fine motor milestones

Answer 8

Stages of play

Answer 9

Cognitive development

Answer 10

Stages of grasp/release

Answer 11

Stages of scissor skills

Answer 12

Stages of toileting

Answer 13

Stages of dressing