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What to look for
When's it normal?
Interference
What to do
Misc.
100
Plantar Grasp
You are feeling for mass flexion response of the toes, attempt to pull finger tip away. Look for: symmetry of grasp strength and bilaterally
100
Ability to stand
What would the presence of ankle clonus, past the appropriate age, interfere with?
100
Support head, but do not restrain head movement. Slightly stroke from corner of mouth outward on cheek on one side Reposition head to midline and repeat on other side
How would you assess the Rooting reflex?
100
Hold baby in upright position with both hands under arms of infant. Make sure that infant's feet can touch the surface. -Moving from standing, tilt infant's trunk forward to stimulate stepping movement
How would you assess for the presence of the Standing/ Positive Support Reflex? How would you progress to test for the Walking/Stepping Reflex?
200
Placing Reflex
What reflex do you observe if the child lifts the foot, fans the toes, and moves the foot downward towards the surface of the table/bassinet?
200
35 Weeks Gestation - 2 Months
When is it normal to see the Standing or Positive Support Reflex?
200
-Standing and Walking -Balance reactions and weight shift in standing -Development of smooth, coordinated reciprocal movement of LEs
If the Walking/Stepping reflex were present for too long, what would it interfere with?
200
Place the infant prone with head in midline and arms flexed at side. Observe for 15 seconds. If crawl is not spontaneous, press thumbs against soles of feet
How do you test the Crawling Reflex?
200
-Infant turns head in direction of the spin. If eyes are open, observe their position during and at the end of the spin. Not a slow nystagmus of each eye as it catches the light during the spin and at the end of the spin. -Birth
What does the Tonic Deviation of Head and Eyes, and Nystagmus Reflex look like? When is the presence of this reflex 'normal'?
300
Movement of the pelvis and trunk into lateral flexion/swing of the trunk Look for symmetry of both responses
What do you look for when testing the Gallant/Incurvation Reflex?
300
28 weeks gestation - 5 mo.
When is the presence of the Moro reflex normal?
300
-Feeding -Visual tracking -Midline use of hands -Bilateral use of hands -Rolling -Development of crawling
What can the ATNR reflex interfere with if present for too long?
300
Feel for mass flexion response of fingers. Look for symmetry of grasp and strength bilaterally
How would you test the presence of the Palmar Grasp reflex?
300
-"Fencer position" -Extension of extremities on face side with flexion on the scalp side *Watch for response in UE's and LE's and symmetry between R and L responses -look for the baby to reposition their own legs
What do you look for when evaluating the presence of the ATNR?
400
-Rooting, head turning, and neck stretching -Directed and/or non-directed arm swipes at the cloth -Remove hand from cloth if infant makes 2 direct swipes at cloth -Observe if infant removes cloth
What do you look for when evaluating the Defensive Movement reflex?
400
-Ability to initiate rolling -Ability to prop on elbows with extended hips when prone -Ability to flex trunk and hips to come to sitting position from supine position -Balance in sitting or standing
What would the Tonic Labyrinthine Reflex interfere with if it was present for too long?
400
Visual Tracking with head movement
What can the Tonic Deviation of Head and Eyes, and Nystagmus reflex interfere with if present too long?
400
Hold one hand across chest with other hand turning the infant's head slowly to one side (you may have to use rooting reflex to coax head turn). Hold head in extreme position for 3 seconds and observe. Reposition in midline and turn to opposite side
How would to test for the presence of ATNR?
500
Watch for tonal influences on limbs, note excessive extension (supine) and flexion (prone) in trunk and limbs. Watch for baby to actively move spontaneously. Does the baby look like a prisoner of gravity?
What do you look for when assessing the presence of the Tonic Labyrinthine reflex?
500
28 weeks gestation- 3 mo.
When is it normal for the presence of the Rooting reflex?
500
-Oral-motor development -Feeding
What would the Sucking reflex interfere with if present for too long?
500
-Hold infant in face-to-face position -Slowly rotate the infant through 90 degrees in one direction -Make sure head is free and not restricted -Reposition head in midline and repeat in the other direction
How would you assess for the presence of the Tonic Deviation of Head and Eyes, and Nystagmus Reflex?
500
-Hold infant face-to-face at 45 degrees, support trunk with one hand and head with the other. Place head in slight flexion with chin resting on chest. While holding the trunk, release head abruptly so that it drops about 3 inches into your hand (keep hand in position to catch and protect head).
How do you assess the Moro Reflex? If this reflex is present for too long, what can it impact?