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reflexes, primitive
The "primitive reflexes" are those that appear and disappear in an expected order during infant development. They are important signs of a normally functioning nervous system when present at the right stage of development; likewise, abnormal absence of an expected reflex at a given stage of infant development, or presence of (or reappearance of) a reflex beyond the normal time it is normally found implies some abnormal function of the nervous system.
Moro reflex, startle reflex |
the infant is placed in a semiupright position and the head is momentarily allowed to fall slightly backward into the examiner's hand; the child will symmetrically fling the arms out from the body and flex the thumbs, followed by a reverse flexion of the arms as if grasping onto his mother. An asymmetric response may signify a fractured clavicle or a birth injury to the nerves of the arm which does not function properly. Absence of the Moro reflex in a newborn is an ominous finding, implying some sort of serious neurologic condition. See also main heading here. |
grasp response |
is obtained by placing a finger or object in the open palm of each hand; a normal infant will grasp the object and will resist attempted removal with a tighter grip. This reflex is sometimes strong enough in a really vigorous baby to briefly support the child's body weight as if he were doing pull-ups (do not try this at home). |
tonic neck reflex, fencing reflex |
is produced by turning the baby's head to one side while he lies on his back; he extends his arm on the side to which the head is turned, and flexes the other arm, in a pose that mimics a fencer. For an infant to remain in a constant tonic neck response is always abnormal. |
parachute reflex |
the child is suspended by the trunk and suddenly lowered as if the child were falling for an instant. The child spontaneously throws out the arms as a protective mechanism. The parachute reflex appears before the onset of walking. |
rooting reflex |
the newborn's cheek is lightly stroked, and he turns to find the expected mother's nipple |
sucking reflex |
a finger or artificial nipple is placed in the newborn's mouth, and he does what comes naturally |
Babinski reflex or sign |
a finger is stroked firmly down the outer edge of the baby's sole; the toes spread and extend out. |
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