Reflexes And Their Functional Significance

Front 1

STNR

Back 1

Giraffe Stretch: start in cube position, with head up rock forward, then return to cube position.
DO NOT lift feet, sit on ankles. keep hands and fingers flat and forward

Front 2

LR prone

Back 2

Superman: Lay flat on stomach, lift chin, lift arms above head close to ears, extend and lift legs. hold for 20sec and repeat 3x
DO NOT rock, roll or wave arms

Front 3

LR supine flex

Back 3

Popcorn: Lay flat on back, bring knees to chest wrapping arms around legs, lift head, keep eyes close to knees hold for 20sec and repeat 3x.
DO NOT sit up on hips, rollback to neck or shoulders, always flex neck.

Front 4

ATNR

Back 4

Wall lean: stand beside wall, place hand on wall at shoulder height, step sideways away from wall. arm should be extended , opposite arm should be placed on hip, put chin on opposite shoulder.
DO NOT flex extended arm

Front 5

Rooting

Back 5

when infants cheek is stroked, infant will turn head and direct the mouth toward that side.
Functional Significance: feeding

Front 6

Crossed Extention

Back 6

one leg is extended, pressure is applied to the sole of the foot, opposite leg will flex, abduct, and hen extend.
Functional significance: retention can interfere with reciprocal kicking & later motor skills.

Front 7

Positive Supporting in LEs

Back 7

when supported in a standing position with feet firmly contacting support surface, infant will flex & extend legs one at a time.
Functional significance: mobility

Front 8

UE Proprioceptive placing

Back 8

When back of one hand rubs against a surface, UE flexes to bring hand up over the surface.
Functional significance: reaching movement pattern

Front 9

Traction

Back 9

when pulling to sitting position from supine, shoulders and arms flex/elevate.
Functional significance: stabilizes head until self head control is possible.

Front 10

Galant

Back 10

prone position, when stroked on one side of the back, lateral flexion toward that side.
Functional significance: failure to integrate is often seen with athetoid CP.

Front 11

Stepping

Back 11

infant supported with feet on the floor, infant will step with one foot at a time.
Functional significance: walking

Front 12

Moro

Back 12

"startle" response to loud noise or sudden position change.
Functional significance: can impede voluntary movement.

Front 13

Palmar

Back 13

pressure on palm elicits grasp, gently stroking. medial side of hand opens hand.
Functional significance: integrates at a time that a functional version develops

Front 14

Plantar

Back 14

pressure to the ball of foot elicits toe flexion.
Functional significance: integrates at a time that a functional version develops.

Front 15

Babinski

Back 15

gently stroke the sole or side of foot, toes fan apart in abduction.
Functional significance: presence or recurrence after age 2 can indicate damage to corticospinal tracts.

Front 16

Landau

Back 16

"superman" when suspended in prone, head and legs extend; when head is moved into flexion from this position, legs drop down.
Functional significance: infant is emerging from total flexion pattern.

Front 17

Tonic Labyrinthine

Back 17

neck and extremities should extend when back is supported. in prone, flex.
Functional significance: mist be suppressed before child can learn to roll, crawl, or creep effectively.

Front 18

Asymmetric Tonic Neck

Back 18

head turned to side, same side arm and leg extention, opposite side arm and leg flexion.
Functional significance: initial total UE movement patterns.

Front 19

Symmetric Tonic Neck Reflex

Back 19

neck extension, LE flexion; neck flexion, LE extension
Functional significance: related to development of crawling

Front 20

Righting: neck on body

Back 20

in supine turn neck, body should follow
Functional significance: rolling

Front 21

Righting: body on body

Back 21

in supine turn shoulder or hip, body should follow
Functional significance: rolling

Front 22

Labyrinthine/optical head righting

Back 22

body tilted to one side, head tilts in opposite direction to keep head upright
Functional significance: visual orientation, balance

Front 23

Supine Tilting

Back 23

laying on back, if rolled too far, neck will flex, and LE will extend
FS : balance

Front 24

Prone tilting

Back 24

on prone, if rolled, bring self back to middle
FS: balance

Front 25

sitting tilting

Back 25

sitting, tilted to one side opposite arm extends
FS: balance

Front 26

Standing Tilting

Back 26

When tilted forward too far while standing, toes raise to being u back to middle
FS: balance

Front 27

Protective Extension: downward

Back 27

Parachute, extremities extend when infant is quickly let down.
FS: protect from falling

Front 28

Protective Extension: sideways

Back 28

when pushed to one side, arm of "falling" side extends
FS: protect from falling

Front 29

Protective Extension: backward

Back 29

when pushed back, arms extend behind body
FS: protect from falling

Front 30

Protective Extension: forward

Back 30

when pushed forward, arms extend in front of body
FS: protect from falling

Front 31

Protective stepping

Back 31

while standing, if pushed feet will do steps
FS: protect from falling