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Neonatal Reflexes
Pediatrics
Question | Answer |
---|---|
Babinski Reflex | 0-12 months. Extension and fanning of toes with stroke of lateral foot. |
Flexor Withdrawal Reflex | 0-2 months. Withdrawal of extremity with sharp stimulus to foot/palm. |
Crossed Extension Reflex | 0-2 months. Withdrawal of lower extremity and extension of opposite extremity with sharp stimulus to foot. |
Galant Reaction | 0-2 months. Stroke to paravertebral line causes ipsilateral lateral flexion. |
Moro Reflex | 0-4 months. Sudden neck extension causes immediate shoulder flexion/abduction and elbow extension followed by shoulder extension/abduction and elbow flexion. |
Primary Standing Reaction | In supported standing, infant will weight bear and extend lower extremities. WILL PREVENT WALKING IF NOT INTEGRATED....CAUSES EXTENSION OF LE, WHICH PREVENTS FORWARD PROGRESSION. |
Primary Walking Reaction | 0-2 months. In supported standing, patient will demonstrate reciprocal walking with assisted weight shifting. |
Neonatal Neck Righting | 0-6 months. In supine, when neck is turned, the body will roll toward that same side. |
Rooting | 0-3 months. Stroke the perioral region and the infant will turn their head toward that side and open their mouth. |
Sucking | 0-6 months. Touch to lips, tongue, or palate results in sucking |
Startle | 0-6 months. Sudden stimulus (sound/light/cold) causes sudden jerking of whole body or UE extension/abduction followed by adduction. |
Tonic Labyrinthine Reflex | 0-6 months. In prone, Flexor tone. In supine, extensor tone. If it isn't integrated, it can prevent rolling and other movements. |
Asymmetric Tonic Neck Reflex | 0-5 months. Rotation of head causes Heisman pose; extension of face side extremities and flexion of skull side extremities. |
Palmar Grasp | 0-4 months. Pressure stimulus against palm causes it to close. |
Plantar Grasp | 0-9 months. Pressure stimulus to sole or lowering of feet to floor causes toe curling. MUST BE INTEGRATED OR IT WILL IMPEDE WEIGHT BEARING IN WALKING. |
Placing reactions. | 0-6 months. Drag dorsum of the foot or back of hand against edge of table to get placement of hand or foot on tabletop. |
Pull to sit. | 0-6 months. Pull baby by hands from supine to sit. Upper extremities will flex and there will be head lag till about 4-5 months. |
Optical and Labyrinthine Righting Reactions. | 1 month - throughout life. Tilt the body and the head will adjust in order to keep the eyes vertically aligned. |
Protective Reaction | Quick displacement of trunk causes protective reaction. 4 months - downward. 6 months - sideward. 7 months - forward sitting. 9 months - backward sitting. |
Body Righting Reaction Acting on Head | 4-6 montsh throughout life. Contact of the body with a solid surface results in head righting. |
Body righting reaction acting on body. | 6 months - life. Rotation of head/thorax results in rolling over with rotation between trunk/pelvis. |
Landau Reaction | 4-18 months. When infant held in ventral position, head and trunk will extend. (Think of swimming position). |
Tilting Reactions | 5-12 months throughout life. Shifting of base of support will results in lateral flexion of spine toward elevated side of support. |