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소아 반사(척수,뇌줄기,중간뇌,대뇌겉질,자동운동반응) 총 정리

"소아 반사(척수,뇌줄기,중간뇌,대뇌겉질,자동운동반응) 총 정리"에 대한 내용입니다.
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최초등록일 2024.07.19 최종저작일 2023.02
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소아 반사(척수,뇌줄기,중간뇌,대뇌겉질,자동운동반응) 총 정리
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    • 🧠 소아 신경학적 반사에 대한 포괄적이고 상세한 정보 제공
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    "소아 반사(척수,뇌줄기,중간뇌,대뇌겉질,자동운동반응) 총 정리"에 대한 내용입니다.

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    본문내용

    척수수준반사 - 다 2개월까지는 양성 정상, 이후 양성은 반사 성숙↓
    1) 굽힘근 움츠림 반사(Flexor withdrawal)
    ① 검사자세: Supine, 양발 편다.
    ② 검사자극: 발바닥 자극
    ③ 음성: 그대로 있다.
    ④ 양성: 자극 받은 다리 반사적 굽힘
    ⑤ 해석: 2개월까지 양성 정상, 이후 양성은 반사 성숙↓

    2) 폄근 밀기 반사(Extensor thrust)
    ① 검사자세: Supine, 다리 한쪽은 펴고 한쪽은 굽힘
    ② 검사자극: 굽힘 된 다리 자극
    ③ 음성: 굽힘 유지
    ④ 양성: 굽힘 된 다리 반사적 폄
    ⑤ 해석: 2개월까지 양성 정상, 이후 양성은 반사 성숙↓

    3) 교차 폄 반사Ⅰ(Crosed extensionⅠ)
    ① 검사자세: Supine, 다리 한쪽은 펴고 한쪽은 굽힘(
    ② 검사자극: 펴진 다리를 굽힘
    ③ 음성: 상태 유지
    ④ 양성: 굽힘 되어있던 다리 반사적 폄
    ⑤ 해석: 2개월까지 양성 정상, 이후 양성은 반사 성숙↓

    4) 교차 폄 반사Ⅱ(Crosed extensionⅡ)
    ① 검사자세: Supine, 양쪽 다리 모두 폄
    ② 검사자극: 한쪽 다리의 안쪽 자극
    ③ 음성: 상태 유지
    ④ 양성: 자극 받은 다리 반대편이 adduct,
    internal rotation에 plantar flexion
    ⑤ 해석: 2개월까지 양성 정상, 이후 양성은 반사 성숙

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    • 1. Flexor withdrawal
      Flexor withdrawal is a protective reflex that occurs in response to a painful or noxious stimulus applied to the skin or a limb. This reflex is mediated by spinal cord circuits and serves to withdraw the affected limb from the source of the stimulus. It is an important protective mechanism that helps prevent further injury or damage. The flexor withdrawal reflex involves the activation of flexor muscles in the limb to rapidly withdraw it from the stimulus. This reflex is typically elicited by stimuli such as pinprick, heat, or cold applied to the skin. It is an important component of the overall pain response and helps the body react quickly to potentially harmful stimuli. Understanding the mechanisms and characteristics of the flexor withdrawal reflex is important in the assessment and management of various neurological and musculoskeletal conditions.
    • 2. Extensor thrust
      The extensor thrust is a reflex that involves the extension of the limb in response to a stimulus applied to the sole of the foot. This reflex is mediated by spinal cord circuits and is thought to be an important protective mechanism that helps maintain upright posture and balance. The extensor thrust is typically elicited by applying a stimulus, such as stroking or tapping, to the sole of the foot, which causes the muscles in the leg to contract and extend the limb. This reflex is believed to be important in maintaining balance and stability, particularly during standing and walking. Understanding the characteristics and mechanisms of the extensor thrust reflex is important in the assessment and management of various neurological and musculoskeletal conditions, as well as in the development of rehabilitation strategies for individuals with impaired balance or mobility.
    • 3. Crosed extension I
      Crossed extension is a reflex that involves the extension of one limb in response to the flexion of the opposite limb. This reflex is mediated by spinal cord circuits and is thought to be an important component of coordinated movement and balance. The crossed extension reflex is typically elicited by flexing one limb, which causes the muscles in the opposite limb to contract and extend. This reflex is believed to be important in maintaining balance and stability during walking and other dynamic movements. Understanding the characteristics and mechanisms of the crossed extension reflex is important in the assessment and management of various neurological and musculoskeletal conditions, as well as in the development of rehabilitation strategies for individuals with impaired balance or mobility.
    • 4. Crosed extension II
      Crossed extension is a reflex that involves the extension of one limb in response to the flexion of the opposite limb. This reflex is mediated by spinal cord circuits and is thought to be an important component of coordinated movement and balance. The crossed extension reflex is typically elicited by flexing one limb, which causes the muscles in the opposite limb to contract and extend. This reflex is believed to be important in maintaining balance and stability during walking and other dynamic movements. Understanding the characteristics and mechanisms of the crossed extension reflex is important in the assessment and management of various neurological and musculoskeletal conditions, as well as in the development of rehabilitation strategies for individuals with impaired balance or mobility.
    • 5. Asymmetrical tonic neck reflex
      The asymmetrical tonic neck reflex (ATNR) is a primitive reflex that is present in infants and young children, but typically disappears as the child develops. This reflex is characterized by the extension of the limbs on the side to which the head is turned, and the flexion of the limbs on the opposite side. The ATNR is thought to be important in the development of postural control and the integration of sensory information from the vestibular and proprioceptive systems. Understanding the characteristics and persistence of the ATNR can provide valuable insights into the neurological development of a child and can be used to assess and monitor the progress of various developmental disorders, such as cerebral palsy and autism spectrum disorder. Evaluating the ATNR can also inform the development of targeted interventions and rehabilitation strategies to address motor and sensory integration challenges in affected individuals.
    • 6. Symmetrical tonic neck reflex I
      The symmetrical tonic neck reflex (STNR) is a primitive reflex that is present in infants and young children, but typically disappears as the child develops. This reflex is characterized by the flexion of the upper limbs and extension of the lower limbs when the head is flexed, and the extension of the upper limbs and flexion of the lower limbs when the head is extended. The STNR is thought to be important in the development of postural control, balance, and the integration of sensory information from the vestibular and proprioceptive systems. Understanding the characteristics and persistence of the STNR can provide valuable insights into the neurological development of a child and can be used to assess and monitor the progress of various developmental disorders, such as cerebral palsy and autism spectrum disorder. Evaluating the STNR can also inform the development of targeted interventions and rehabilitation strategies to address motor and sensory integration challenges in affected individuals.
    • 7. Symmetrical tonic neck reflex II
      The symmetrical tonic neck reflex (STNR) is a primitive reflex that is present in infants and young children, but typically disappears as the child develops. This reflex is characterized by the flexion of the upper limbs and extension of the lower limbs when the head is flexed, and the extension of the upper limbs and flexion of the lower limbs when the head is extended. The STNR is thought to be important in the development of postural control, balance, and the integration of sensory information from the vestibular and proprioceptive systems. Understanding the characteristics and persistence of the STNR can provide valuable insights into the neurological development of a child and can be used to assess and monitor the progress of various developmental disorders, such as cerebral palsy and autism spectrum disorder. Evaluating the STNR can also inform the development of targeted interventions and rehabilitation strategies to address motor and sensory integration challenges in affected individuals.
    • 8. Tonic labyrinthine reflex
      The tonic labyrinthine reflex (TLR) is a primitive reflex that is present in infants and young children, but typically disappears as the child develops. This reflex is characterized by the extension of the limbs and trunk when the head is tilted back (extension), and the flexion of the limbs and trunk when the head is tilted forward (flexion). The TLR is thought to be important in the development of postural control, balance, and the integration of sensory information from the vestibular system. Understanding the characteristics and persistence of the TLR can provide valuable insights into the neurological development of a child and can be used to assess and monitor the progress of various developmental disorders, such as cerebral palsy and autism spectrum disorder. Evaluating the TLR can also inform the development of targeted interventions and rehabilitation strategies to address motor and sensory integration challenges in affected individuals.
    • 9. Positive supporting reaction
      The positive supporting reaction is a reflex that is observed in infants and young children, and is characterized by the extension and weight-bearing of the limbs when the soles of the feet are placed on a supporting surface. This reflex is thought to be an important component of the development of postural control and balance, as it helps the child to maintain an upright position and support their body weight. The positive supporting reaction is mediated by spinal cord circuits and is believed to be influenced by sensory input from the proprioceptive and vestibular systems. Understanding the characteristics and persistence of the positive supporting reaction can provide valuable insights into the neurological development of a child and can be used to assess and monitor the progress of various developmental disorders, such as cerebral palsy and autism spectrum disorder. Evaluating the positive supporting reaction can also inform the development of targeted interventions and rehabilitation strategies to address motor and sensory integration challenges in affected individuals.
    • 10. Negative supporting reaction
      The negative supporting reaction is a reflex that is observed in infants and young children, and is characterized by the flexion and withdrawal of the limbs when the soles of the feet are placed on a supporting surface. This reflex is thought to be an important component of the development of postural control and balance, as it helps the child to maintain an upright position and support their body weight. The negative supporting reaction is mediated by spinal cord circuits and is believed to be influenced by sensory input from the proprioceptive and vestibular systems. Understanding the characteristics and persistence of the negative supporting reaction can provide valuable insights into the neurological development of a child and can be used to assess and monitor the progress of various developmental disorders, such as cerebral palsy and autism spectrum disorder. Evaluating the negative supporting reaction can also inform the development of targeted interventions and rehabilitation strategies to address motor and sensory integration challenges in affected individuals.

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