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NBCOT Study Cards
****************REFLEXES (peds)
23
Other
Professional
09/07/2007

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Term
Rooting reflex (onset age, integration, stimulus, response, relevance)
Definition
28 weeks gestation to 3 months

stimulus: stroke corner of mouth, upper/lower lip
response: movement of tongue, mouth, and/or head toward stimulus
relevance: allow searching for and locating feeding source
Term
Suck-swallow reflex (onset age, integration, stimulus, response, relevance)
Definition
28 weeks gestation to 2 to 5 months

stimulus: index finger inside infant's mouth with head in midline
response: strong, rhythmical sucking
relevance: allows ingestion of nourishment
Term
Traction reflex (onset age, integration, stimulus, response, relevance)
Definition
28 weeks gestation to 2 to 5 months

stimulus: grasp infant's forearms and pull-to-sit
response: complete flexion of upper extremities
relevance: enhances momentar reflexive grasp
Term
Moro reflex (onset age, integration, stimulus, response, relevance)
Definition
28 weeks gestation to 4 to 6 months

stimulus: rapidly drop infant's head backward
response:
1st phase = arm extension/ABduction, hand opening
2nd phase = arm flexion and ADDuction
relevance: facilitates ability to depart from dominant flexor posture; protective response
Term
Plantar Grasp reflex (onset age, integration, stimulus, response, relevance)
Definition
28 weeks gestation to 9 months

stimulus: apply pressure with thumb on ball of infant's foot
response: toe flexion
relevance: increases tactile input to sole of foot
Term
Galant reflex (onset age, integration, stimulus, response, relevance)
Definition
32 weeks gestation to 2 months

stimulus: hold infant in prone suspension, gently scratch or tap along spine with finger, from shoulder to buttocks
response: lateral trunk flexion and wrinkling of the skin on the stimulated side
relevance: faciliates lateral trunk movements necessary for trunk stabilization
Term
Asymmetric tonic neck relfex (ATNR) (onset age, integration, stimulus, response, relevance)
Definition
37 weeks gestation to 4 to 6 months

stimulus: fully rotate infant's head and hold for 5 seconds
response: extension of extremities on the face side, flexion of extremities on skull side
relevance: promotes visual hand regard
Term
Palmar grasp reflex (onset age, integration, stimulus, response, relevance)
Definition
37 weeks gestation to 4 to 6 months

stimulus: place examiners finger in infant's palm
response: finger flexion; reflexive grasp
relevance: increases tactile input on the palm of hand
Term
Tonic labyrinthine - supine reflex (onset age, integration, stimulus, response, relevance)
Definition
>37 weeks gestation to 6 months

stimulus: place infant in supine
response: increased extensor tone
relevance: facilitates total-body extensor tone
Term
Tonic labyrinthine - prone reflex (onset age, integration, stimulus, response, relevance)
Definition
>37 weeks gestation to 6 months

stimulus: place infant in prone
response: increased flexor tone
relevance: facilitates total-body flexor tone
Term
Labyrinthine/optical (head) righting reflex (onset age, integration, stimulus, response, relevance)
Definition
birth to 2 months -- persists

stimulus: hold infant suspended vertically and tilt slowly (about 45degrees) to the side, forward, or backward
response: upright positioning of the head
relevance: orients head in space; maintains face vertical
Term
Landau reflex (onset age, integration, stimulus, response, relevance)
Definition
3 to 4 months -- 12 to 24 months

stimulus: hold infant in horizontal prone suspension
response: complete extension of head, trunk, and extremities
relevance: breaks up flexor dominance; facilitates prone extension
Term
Symmetric tonic neck reflex (onset age, integration, stimulus, response, relevance)
Definition
4 to 6 months -- 8 to 12 months

stimulus: place infant in the crawling position and extend the head
response: flexion of hips and knees
relevance: breaks up total extensor posture; facilitates static quadruped position
Term
neck righting reflex (NOB) (onset age, integration, stimulus, response, relevance)
Definition
4 to 6 months -- 5 years

stimulus: place infant in supine and fully turn head to one side
response: log rolling of entire body to maintain alignment with the head
relevance: maintains head/body alignment; initiates rolling (first ambulation effort)
Term
body righting reflex (BOB) (onset age, integration, stimulus, response, relevance)
Definition
4 to 6 months -- 5 years

stimulus: place infant in supine, flex one hip and knee toward the chest and hold briefly
response: segmental rolling of the upper trunk to maintain alignment
relevance: facilitates trunk/spinal rotation
Term
Downward parachute reflex (onset age, integration, stimulus, response, relevance)
Definition
4 months -- persists

stimulus: rapidly lower infant toward supporting surface while suspended vertically
response: extension of LE
relevance: allows accurate placement of LE in anticipation of a surface
Term
forward parachute reflex (onset age, integration, stimulus, response, relevance)
Definition
6 to 9 months -- persists

stimulus: suddenly tip infant forward toward supporting surface while vertically suspended
response: sudden extension of UE, hand opening, and neck extension
relevance: allows accurate placement of UE in anticipation of supporting surface to prevent a fall
Term
backward parachute reflex (onset age, integration, stimulus, response, relevance)
Definition
9 to 10 months -- persists

stimulus: quickly but firmly tip infant off-balance backward
response: backward arm extension or arm extension to one side
relevance: protects body to prevent a fall; unilaterally facilitates spinal rotation
Term
sideward parachute reflex (onset age, integration, stimulus, response, relevance)
Definition
7 months -- persists

stimulus: quickly but firmly tip infant off-balance to the side while in the sitting position
response: arm extension and ABduction to the side
relevance: protects body to prevent a fall; supports body for unilateral use of opposite arm
Term
prone tilting reflex (onset age, integration, stimulus, response, relevance)
Definition
5 months -- persists

stimulus: after positioning infant in prone, slowly raise one side of the support surface
response: curving of the spine toward the raised side (opposite to the pull of gravity); ABduction/extension of arms and legs
relevance: maintain equilibrium without arm support; facilitate posture adjustments in all positions
Term
supine tilting and sitting tilting reflexes (onset age, integration, stimulus, response, relevance)
Definition
7 to 8 months -- persists

stimulus: after positioning infant in supine or sitting, slowly raise one side of supporting surface
response: curving of the spine toward the raised side (opposite to the pull of gravity); ABduction/extension of arms and legs
relevance: maintain equilibrium without arm support; facilitate posture adjustments in all positions
Term
quadruped tilting reflex (onset age, integration, stimulus, response, relevance)
Definition
9 to 12 months -- persists

stimulus: after positioning infant on all fours, slowly raise one side of the supporting surface.
response: curving of the spine toward the raised side (opposite to the pull of gravity); ABduction/extension of arms and legs
relevance: maintain equilibrium without arm support; facilitate posture adjustments in all positions
Term
standing tilting reflex (onset age, integration, stimulus, response, relevance)
Definition
12 to 21 months -- persists

stimulus: after positioning infant in standing, slowly raise one side of the supporting surface
response: curving of the spine toward the raised side (opposite to the pull of gravity); ABduction/extension of arms and legs
relevance: maintain equilibrium without arm support; facilitate posture adjustments in all positions
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