Spinal reflex evaluation helps to narrow down further the lesion localisation by testing the integrity of the cervicothoracic intumescence (C6 – T2 segments) and lumbosacral intumescence (L4 – S3 segments) as well as respective segmental sensory and motor nerve, that form the peripheral nerve, and the muscles innervated. Lesions at the level of these intumescences or affecting the peripheral nervous system result in LMN signs in the muscles innervated i.e. loss of segmental spinal reflexes as we
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Primitive reflexes: we have to integrate them! Let’s talk about the Asymmetrical Tonic Neck Reflex. The ATNR emerges 18 weeks in utero and diminishes completely 3–9 months after birth. The effect of the retained ATNR can be poor eye tracking and difficulty crossing the visual midline. The occurrence of the reflex can cause difficulties in learning to read, telling the time and left-right confusion as well. ~ The ATNR is often called the “fencing reflex”, due to the fact that when an infant is ly
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