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원시반사

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by

Choi hyung joo

on 3 June 2012

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Transcript of 원시반사

stepping reflex upright position leg to touch the edge
of the table lift their foot on top
of the table diminish
: 4month return when the
baby learn to
stand and walk crawling reflex disappear
:4 month valuntary begin around 7month tummy and
sole of his feet
are touched legs in a
crawling position voluntary begin sucking reflex around 2 month disappear 6 month teeth begin to develop dental problem swimming reflex Patterns of
amphibians disappear
: 6 month in water holding their
breath move their arms
and leg startle reflex onset : birth
integrated
: persists crying sudden extension
or abduction of arm harsh noise sudden loud Rooting reflex disappear
: 4 month check strock turn toward the source of the stimulation Moro reflex onset
: 28 week gestation integrated
: 5-6months flight / flight reaction hand opening adduction of arms palmar / plantar reflex disappear 2-4 month onset 11 weeks activation activated by
stimulation
in the plam Role & description practice
grasping the letting go of
object perez reflex prone position stroked from
tail to hand cry out and head will rise disappear 4-6 month spinal galant reflex strocked lateral
spinal bending lateral flexion poor posture development
of scoliosis disappear between 3~9 month inattention ability to sit still landau reflex disappear 1~2 year Abdominal support Head up
& trunk dorsiflexion
& lower limb extension Doll’s eye reflex disappear 1 month Head manually turned Eyes will stay fixed Flexor withdrawal reflex appear 4 weeks disappear 2 month Foot stimulation Knee & foot flexion Parachute Reflex Stimulus : displace center
of gravity outside the
base of support last of the postural reflexes to develop Response : Arm or Leg
extend and abduct
to support and to Protect
the body against falling Onset :
Arm 4-6month or
Leg 6-9month Integrated : persists Reaction of
Mid bran and
thalamus Righting reflex Neck righting action
On the body Body righting action
On the body Labyrhinthine head
righting Optical righting Body righting action
on head Neck righting action
On the body Stimulus : passively turn head
to one side Tested in supine Response : body rotate as a whole(leg rolls)
to align the body with the head Onset :
4-6 month Integrate :
5 years Body righting action
On the body Stimulus : Passively rotate upper
or lower trunk segment tested in supine Response : Body segment not rotated
follows to align the body segments Onset : 4-6 month Integrated :
5 years Labyrhinthine head
righting Stimulus : Occlude vision :
alter body position
by tipping body in all direction Response : Head orients
to vertical position with
mouth horizontal Onset :
b irth- 2month integrated
: persists Optical righting Stimulus : alter body position
by tipping body in all direction Response : Head orients to vertical
position with mouth horizontal Onset :
birth- 2month integrated :
persists Body righting action on head Stimulus : place in prone
or supine position Response : Head orients
to vertical position with
mouth horizontal Onset :
birth- 2month Integrated
: 5 year TLR Onset : birth
Integrated : 6months stimulus supine neck
extension Knee extension
Shoulder retraction neck
flexion prone knee flexion
hip flexion SRR chronology :
6 -10months
after ~ throughout life. reaction when raising the shoulder
the knee on th same side
should begin to bend. when raising the knee, the shoulder and arm should begin to roll also. prone or
supine activation Babkin
reflex Hand-to-mouth disappear :
around 3-4 months both of baby's palms are pressed,
her eyes will close, mouth will open and her head will turn to one side. primitive reflex 2조 : 박상혁, 이요섭,
김수언, 연소라,
최지혜, 최형주 STNR Stimulus : flexion or
extension of the head Respons : With head flexion :flexion of arms
, extension of legs, with head extension
: extension of arms, flexion of leg Onset
: 4-6 month Integrated
: 8- 12 month ATNR Stimulus : rotation of
the head to one side Response : Flexion of skull limbs,
extension of the jaw limbs ,
bow and arrow or “ fencing” posture Onset:
birth Integration
: 4-6 month Babinski reflex Stimulus: baby foot is
stroked from heel
toward the toes response : big toe
should lift up onset
: birth Integration
: 1year primitive reflex stepping reflex crawling reflex swimming reflex sucking reflex startle reflex Rooting reflex Moro reflex palmar / plantar reflex perez reflex spinal galant reflex landau reflex Doll’s eye reflex Flexor withdrawal reflex Parachute Reflex Righting reflex Neck righting action
On the body Body righting action
On the body Labyrhinthine head
righting Optical righting Body righting action on head SRR TLR Babkin
reflex STNR ATNR Babinski reflex feeding reflex 2가지를 쓰시오



( ) 답 : sucking reflex ,rooting reflex locomotor reflex 3가지를 쓰시오




( ) 답: Stepping reflex , swimming reflex , crawling reflex 그림을 보고 해당 반사를 쓰고 반사가 부재 시에 생길 수 있는 문제점을 쓰시오






( ) 답: spinal galant reflex, scoliosis 평생 지속 반사인 것을 고르시오
① moro reflex ② landau reflex

③ stepping reflex ④ tonic neck reflex

⑤ protective reflex 답 : ⑤ protective reflex 해설 : Moro reflex는 5~6개월에 사라지고
Landau reflex는 1~2년 사이에 사라지고
Stepping reflex는 4개월쯤에 사라지고
Tonic neck reflex는 5~6개월 사이에 사라진다. Moro reflex 는 성장 후 ( )로 대체 된다
① parachute reflex ② righting reflex

③ spiral galant reflex ④ startle reflex

⑤ perez reflex 답 : ④ 6 brain stem reflex 로 pencing position 이 되는 이 반사와 그 발생과 통합이 올바른 것을 고르시오 ① ATNR 발생 : 출생 통합 : 4~6개월

② STNR 발생 : 4~6개월 통합 : 8~12개월

③ ATNR 발생 : 4~6개월 통합 : 8~12개월

④ TLR 발생 : 출생 통합 : 6개월

⑤ STLR 발생 : 출생 통합 : 6개월 답 : ① 해설
STNR은 4~6개월에 발생하고 8~12개월에 소실한다.
TLR(=STLR)은 출생시 발생하고 6개월에 소실한다 그림을 보고 해당하는 reflex를 쓰고 부재시 나타나는 문제 를 쓰시오 답 : landau reflex . preblems in motor development 출처 뇌성마비의 평가와 물리치료/대학서림/karel Bobath 11~55P



신경과학 / 정담미디어 /Laurie Lundy-Ekman / 275P



강의록노트 / 주 민 / 88~106p
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