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PT 641 Peds > Infant Reflexes > Flashcards

Infant Reflexes Flashcards

(85 cards)

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1
Q

what s level is primary walking

A

spinal

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2
Q

when does primary walking appear by

A

38 weeks gestation

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3
Q

when is primary walking integrated by

A

2 months

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4
Q

primary walking is elicited by

A

in standing, hold infant under arms and incline forward

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5
Q

results of primary walking

A

automatic walking steps which are rhythmical and with heel strike

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6
Q

what brain level is galant

A

spinal

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7
Q

when does galant appear

A

32 weeks gestation

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8
Q

when is galant integrated by

A

2 months

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9
Q

how to elicit galanat

A

support infant by the thorax in prone with one hand (hold on FA); stroke one side of trunk between 12th rib and iliac crest with other hand

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10
Q

results of galant

A

lateral flexion on trunk toward the side that was stroked

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11
Q

what brain level is palmar grasp/hand grasp

A

spinal

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12
Q

when does palmar/hand grasp appear

A

birth

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13
Q

when is palmar/hand grasp integrated

A

4 months

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14
Q

how is palmar/hand grasp elicited

A

beginning on ulnar side of hand, apply pressure across the palm

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15
Q

result of palmar/hand grasp

A

flexion of fingers on the stimulated hand

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16
Q

what brain level is moro (startle)

A

associated/automatic reaction

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17
Q

when does moro (startle) appear

A

28 weeks gestation

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18
Q

when is moro (startle) integrated by

A

5 months

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19
Q

how to elicit moro (startle)

A

in supine, pull infant by the arms 2-3 inches from the surface and then release

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20
Q

results of moro (startle)

A

abduction/extension of the arms and legs

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21
Q

what brain level is root

A

spinal

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22
Q

when is root aquired

A

28 weeks gestation

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23
Q

when is root integrated by

A

3 months

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24
Q

how is root elicited

A

light stroke at the corner of the mouth and cheeck

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25
results of root
lower lip droops, head turns toward stimulus
26
what brain level is toe/plantar grasp
spinal
27
when does toe/plantar grasp appear
28 weeks gestation
28
when is toe/plantar grasp integrated by
9 months
29
how is toe/plantar grasp elicited
beginning on the medial side, apply pressure to the ball of the foot
30
results of toe/plantar grasp
flexion of toes on stimulated foot
31
what brain level is plantar reflex (babinksi)
spinal
32
when does plantar reflex (babinksi) appear
birth
33
when is plantar reflex (babinksi) integrated
remains positive throughout 1st year of life
34
how is plantar reflex (babinksi) elicited
stroke the lateral part of the side of the sole of the foot
35
what are the results of plantar reflex (babinksi)
Adults: plantarflexion Newborns-1y/o: dorsiflexion of big toe and fanning of other others Abnormal: DF of bit toe in patients 1y/o and adults
36
what brain level is asymmetrical tonic neck reflex (ATNR)
brainstem
37
when does asymmetrical tonic neck reflex (ATNR) appear
birth or first month
38
when is asymmetrical tonic neck reflex (ATNR) integrated
6 months
39
how is asymmetrical tonic neck reflex (ATNR) elicited
in supine, rotate head to one side, wait for response; rotate head to other side and wait for response
40
results of asymmetrical tonic neck reflex (ATNR)
extension of the arm and leg on the face side, flexion on the skull side (fencer's pose)
41
what brain level is symmetrical tonic neck reflex (STNR)
brainstem
42
when does symmetrical tonic neck reflex (STNR) appear
1-4 months
43
when is symmetrical tonic neck reflex (STNR) integrated
6-8 months
44
how to elicit symmetrical tonic neck reflex (STNR)
hold or place in prone, then flex or extend the head
45
results symmetrical tonic neck reflex (STNR)
with extension of head, will have arm extension and LE flexion with head flexion, will have arm flexion and LE extension
46
what brain level is tonic labyrinthine (prone and supine)
brainstem
47
when does tonic labyrinthine (prone and supine) appear
birth
48
when is tonic labyrinthine (prone and supine) integrated
6 months
49
how to elicit tonic labyrinthine (prone and supine)
place child in prone or supine
50
results tonic labyrinthine (prone and supine)
Prone: flexor tone dominantes Supine: extensor tone dominates
51
what brain level is landau
associated/automatic reaction
52
when does landau appear
5-6 months
53
when is landau integrated
3 years
54
how to elicit landau
supporting thorax, hold child in prone position in space
55
results landau
extension of the head, trunk, legs
56
what brain level is neck righting on body (NOB)
midbrain
57
when does neck righting on body (NOB) appear
34 weeks Strongest at 4-6 months
58
when is neck righting on body (NOB) integrated
5 years
59
how to elicit neck righting on body (NOB)
in supine, rotate head to one side
60
results neck righting on body (NOB)
body rotates as a whole in the same direction
61
what brain level is body righting on the body (BOB)
midbrain
62
when does body righting on the body (BOB) appear
34 weeks Strongest at 6 months
63
when is body righting on the body (BOB) integrated
5 years
64
how to elicit body righting on the body (BOB)
in supine, rotate head to one side
65
results body righting on the body (BOB)
segmental rolling, head turns, then shoulder, then hips to face side
66
what brain level is protective extension down (parachute)
associated/automatic reaction
67
when does protective extension down (parachute) appear
4 months
68
when is protective extension down (parachute) intregrated
will never go away
69
how to elicit protective extension down (parachute)
hold child around trunk, lift in space; turn them upside down and move quickly towards the floor
70
results protective extension down (parachute)
extension of arms at elbows to protect self
71
what brain level is protective extension (front)
associated/automatic reaction
72
when does protective extension (front) appear
6-7 months
73
when is protective extension (front) integrated
will never go away
74
how to elicit protective extension (front)
in sitting, child is pushed forward toward a support surface
75
results protective extension (front)
arms extend forward (elbow, wrist, fingers)
76
what brain level is protective extension (side)
associated/automatic reaction
77
when does protective extension (side) appear
7-8 months
78
when is protective extension (side) integrated
will never go away
79
how to elicit protective extension (side)
child is placed in sitting and pushed sideways on one shoulder with enough force to displace them
80
results protective extension (side)
abduction of the opposite arm with extension of the elbows, wrist, fingers
81
what brain level is protective extension (back)
associated/automatic reaction
82
when does protective extension (back) appear
9 months
83
when is protective extension (back) integrated
will never go away
84
how to elicit protective extension (back)
child is placed in sitting and pushed backward
85
results protective extension (back)
full reaction is backwards extension of both arms; some trunk rotation may occur (see reaction then in one arm)

PT 641 Peds (16 decks)

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