Primitive Reflexes

Total Page:16

File Type:pdf, Size:1020Kb

Primitive Reflexes Teaching Neurodevelopmental Movements Welcome Brain and Sensory Foundations • OTs, PTs, • Vision and Speech Therapists Neurodevelopmental Movement for • Parents and Educators Physical, Emotional, Social and Learning Skills • Pain specialists, Trauma specialists • Mental Health counselors • Learning specialists Please have a water bottle, mats and pillow ready • Healthcare professionals for doing movement on the floor • Yoga Therapists • Massage Therapists • Caregivers Write your name on your manual • Coaches • Performance optimization moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Course Overview Common Challenges • Rhythmic Movements • Anxiety • Frustration • Reflexes • LacK of focus, under functioning • Tonic Labyrinthine Reflex (TLR) • LacK of impulse control • Symmetric Tonic Neck Reflexes (STNR) • Asymmetric Tonic Neck Reflex (ATNR) • Difficulty learning • Hands and Feet Reflexes • Emotional outbursts • Spinal Galant Reflex • Sensitivities to touch, sound, light, motion, smells • Moro Reflex • Inability to be still • Fear Paralysis Reflexes • Speech, auditory and visual challenges • Headrighting Reflexes • Pain, tension, fatigue • Poor posture, poor core strength • Special Tools—PACE, Heart Coherence, Balance Process, Support Repatterning Sequence, Joint Compression, Core • Poor balance Activation • Developmental Movements, Play and Games Many children are not physically or neurologically ready to accomplish the tasks we ask of them moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Neurodevelopmental Movements are fundamental to building our structural alignment, core strength—and brain maturity Sitting Then Photographs are from Natural Posture for Pain-Free Living (2013) and Sad Dog Happy Dog: How Poor *Photographs from Natural Posture for Pain-Free Living (2013) and Sad Dog Happy Dog: How Poor Posture Affects Your Child’s Health (2010) by Kathleen Porter. www.naturalposturesolutions.com Posture Affects Your Child’s Health (2010) by Kathleen Porter. www.naturalposturesolutions.com moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Sitting Now Sitting Now Photographs are from Natural Posture for Pain-Free Living (2013) and Sad Dog Happy Dog: How Poor Photographs are from Natural Posture for Pain-Free Living (2013) and Sad Dog Happy Dog: How Poor Posture Affects Your Child’s Health (2010) by Kathleen Porter. www.naturalposturesolutions.com Posture Affects Your Child’s Health (2010) by Kathleen Porter. www.naturalposturesolutions.com moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Standing Now Standing Then *Photographs from Natural Posture for Pain-Free Living (2013) and Sad Dog Happy Dog: How Poor *Photographs from Natural Posture for Pain-Free Living (2013) and Sad Dog Happy Dog: How Poor Posture Affects Your Child’s Health (2010) by Kathleen Porter. www.naturalposturesolutions.com Posture Affects Your Child’s Health (2010) by Kathleen Porter. www.naturalposturesolutions.com moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Autism: Head Lag and Autism moveplaythrive.com © 2019 Sonia Story The Movement-Sensing Perspective “Head lag was significantly associated with autism spectrum disorder at 36 [months]”* *Flanagan, J. E., Landa, R., Bhat, A., & Bauman, M. (2012). Head lag in infants at risK for autism: • “Therapeutic A preliminary study. American Journal of Occupational Therapy, 66(5), 577-585 interventions ideally should build on core principles of neurodevelopment.” • Elizabeth Torres and Caroline Whyatt, Editors • CRC Press, October 2017, Series, Frontiers in Neuroscience Healthy Baby Compromised Baby Photo from Kathleen Porter, author of Healthy Posture for Babies and Children. naturaltothecore.wordpress.com moveplaythrive.com © 2019 Sonia Story Healthy Baby Healthy Baby Neurodevelopmental Movements—REQUIRED Not Optional, for normal development Profound Transformation with Innate Movements Innate movements of womb and infancy • Develop sensory processing, brain maturity • Ability to speaK and learn with ease • Have upright posture, strength and stamina • Develop emotional and cognitive sKills Drawings Submitted by Nina Gallwey, Remedial Education Teacher, SisKiyou School, Oregon Before participating in a movement program, the 81⁄2-year-old student who drew these pictures struggled with selective mutism. With regular rhythmic movement, this student’s strides amazed her speech therapist: she now reads aloud in class and joined her school’s Drama Club. moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Profound Transformation with Innate Movements Brain Tune- Up pages 18-19 1. Water 2. Brain Buttons 3. Cross Crawl Drawings Submitted by Nina Gallwey, When there is emotional upset, go Remedial Education Teacher, SisKiyou School, directly to Wrap-Ups, first position Oregon moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Illustrations © Morgan Humphreys Davis, PT Mind and Motion 907-209-7133 [email protected] The Power of the PACE for Anxiety What to do if someone is Reduction—Doctoral Thesis Report Jan Irving, PhD dysregulated by movement • First year nursing students Decrease in • In some instances, the Rhythmic and/or Reflex • Purpose of study— determine the effect of Group Self-Reported Increase in Integration activities may trigger reactions of the PACE process on self- Anxiety Performance dizziness, nausea or intense emotion. If this occurs: reported anxiety and on performance With 69.5% 18.7% PACE Reduction in Increase in • Stop, rest and offer any of the following: • Five WeeK baseline data self-reported performance • Hook ups established high levels of anxiety on sKills tests anxiety and some • Brain Buttons students were failing the weeKly sKill tests. No No consistent Higher failure • Positive Points (ESR points, touch frontal eminence) intervention behavior rate • Water • Oregon State University, change Corvallis, OR moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Importance of Rhythm Rhythmic Movements for • Rhythm is fundamental to our development, learning and well-being Brain Connectivity • Breathing Stimulation of the RAS and Cerebellum grows the brain • Heart Rate & develops the nerve networks to “link up” the brain. • Mature movement • Learning • Speaking All depend on rhythm Rhythm Movements are especially helpful for calming, reflex integration, brain connectivity (maturity), sensory integration. In RMT we learn to draw out the innate rhythm of the one we are working with. ASK FOR FEEDBACK when giving rhythmic movements in passive form. Passive rocKing movements should always be done in a way that is pleasant for both giver and receiver. For those who are non-verbal, looK at The RAS receives sensory information—tactile, The Cerebellum is responsible for many motor facial expression, change in breathing, relaxation response. visual, balance, proprioceptive, auditory—and and cognitive functions. It is 10% of brain relays it to the Cortex. Responsible for volume and holds nearly 80% of the brain’s moveplaythrive.com © 2019 Sonia Story “waKefulness” alertness, attention total neurons. Before and After Innate Rhythmic Movements Before and After Innate Rhythmic Movements Submitted by Lisa Muir BSc hons OT After 15 minutes of innate rhythmic movement His first session of R.M (read marble and not mardull) Kyle, 5 years old moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Before and After Innate Rhythmic Movements Before and After Innate Rhythmic Movements Submitted by Lisa Muir BSc hons OT Submitted by Lisa Muir BSc hons OT After 15 minutes of innate rhythmic movement 5 year old girl, presenting with motor planning / coordination concerns. Also her first session of R.M – This is a little girl who not long before this cried in my 6 year old boy, with inattentive behaviors, poor posture and ocular motor concerns. movement class, looKing down at her legs, “they don’t worK!” After, 15 minutes of R.M. Also his first session. Truly that was his posture after! moveplaythrive.com © 2019 Sonia Story moveplaythrive.com © 2019 Sonia Story Infant Rhythmic Movements Establish Brain Connectivity Eight month twins rocking in sync! • Brain Stem to Limbic and Cortex— connections for: • attention/focus • impulse control • emotional development • ability to filter sensory information • sensory processing of all Kinds • Cerebellum to Cortex—connections for • Attention/focus • mature eye movements • speech development • learning/memory, speed of information processing • reading comprehension Lucinda Ruh. Published on Feb 5, 2013 on YouTube. moveplaythrive.com © 2019 Sonia Story History and Results Rhythmic Movement Training Rhythmic Movement Training • Mary Gazca, dissertation for Master’s Degree, St. Catherine University RMT is a combination of innate rhythmic movements and primitive and • Rebooting Development with a Rhythmic Motor Intervention, May 2012 postural reflex integration movements derived from the movements babies do • Evaluative online survey of individuals using RMT for 3 months minimum with in the womb and early infancy children with developmental disorders Infancy is the time in our lives when the Reducing Increasing Increasing Ability brain grows the fastest Distractibility Attention/focus to complete tasks Brain growth is driven by 85.8 % agree 92.1% agree 86.8 % agree neurodevelopmental movements • Kerstin Linde Reducing Reducing Reducing sensitivity to sensitivity
Recommended publications
  • Retained Neonatal Reflexes | the Chiropractic Office of Dr
    Retained Neonatal Reflexes | The Chiropractic Office of Dr. Bob Apol 12/24/16, 1:56 PM Temper tantrums Hypersensitive to touch, sound, change in visual field Moro Reflex The Moro Reflex is present at 9-12 weeks after conception and is normally fully developed at birth. It is the baby’s “danger signal”. The baby is ill-equipped to determine whether a signal is threatening or not, and will undergo instantaneous arousal. This may be due to sudden unexpected occurrences such as change in head position, noise, sudden movement or change of light or even pain or temperature change. This activates the stress response system of “fight or flight”. If the Moro Reflex is present after 6 months of age, the following signs may be present: Reaction to foods Poor regulation of blood sugar Fatigues easily, if adrenalin stores have been depleted Anxiety Mood swings, tense muscles and tone, inability to accept criticism Hyperactivity Low self-esteem and insecurity Juvenile Suck Reflex This is active together with the “Rooting Reflex” which allows the baby to feed and suck. If this reflex is not sufficiently integrated, the baby will continue to thrust their tongue forward, pushing on the upper jaw and causing an overbite. This by nature affects the jaw and bite position. This may affect: Chewing Difficulties with solid foods Dribbling Rooting Reflex Light touch around the mouth and cheek causes the baby’s head to turn to the stimulation, the mouth to open and tongue extended in preparation for feeding. It is present from birth usually to 4 months.
    [Show full text]
  • Intro to Pediatric HCC Module
    A Message from Mark Baiada BAYADA Home Health Care has a special purpose—to help people have a safe home life with comfort, independence, and dignity. BAYADA will only succeed with your involvement and commitment as a member of our home health care team. I recognize your importance to the organization and appreciate your compassion, excellence, and reliability. I value the skills, expertise, and experience that you bring with you. And, as an organization, BAYADA is committed to providing you with opportunities to help broaden your expertise and experience. Acquiring new skills will allow you to participate in the care of a wider variety of clients. That makes you an increasingly valuable member of our home health care team. Most importantly, our clients benefit when you successfully master new skills that contribute to their safety and well-being. BAYADA University and the School of Nursing courses are designed to help you perfect your knowledge and skill to achieve clinical excellence in the care of clients. I applaud your willingness to continue the journey of life-long learning and wish you continued success in your professional development as an important member of the BAYADA team. Sincerely, Mark Baiada President Table of Contents Welcome ...........................................................................................................................iv Introduction to home care ................................................................................................. 1 Psychosocial ..................................................................................................................
    [Show full text]
  • Step Usmle® 1
    2015 USMLE Review THE 25th EDITION OF THE WORLD’S MOST FOR ® POPULAR MEDICAL REVIEW BOOK! THE FIRST AID FIRST FIRST AID Trust 25 years of experience for the most effective USMLE Step 1 preparation possible ® • 1,250+ must-know topics provide a complete • Extensive faculty review process with Due to Printer: framework for your USMLE preparation nationally known USMLE instructors THIRD PASS 10/31/14 • Test-taking advice with focus on • 1,000+ color photos and diagrams help high-efficiency studying you visualize high-yield concepts THE FOR Sponsoring • Major revisions in all subject areas based • Expanded guide to high-yield study Catherine Johnson USMLE Editor on feedback from thousands of students resources, including mobile apps ® USMLE STEP • Free real-time updates and corrections at www.firstaidteam.com INSIDER ADVICE Marketing Jennifer Orlando FOR STUDENTS FROM STUDENTS STEP FOR THE ULTIMATE STEP 1 FOR A COMPLETE 1 Copy REVIEW PACKAGE, REVIEW OF THE Editor John Gerard BE SURE TO BASIC SCIENCES, ALSO GET: TURN TO: 1 2015 th Editorial 25 Peter Boyle EDITION 25th ANNIVERSARY EDITION Supervisor LE j c More than 1,250 frequently tested topics and mnemonics b BHUSHAN Art Director Anthony Landi Index c Hundreds of significant high-yield updates b c 250+ new photographs and diagrams b 978-0-07-174397-6 978-0-07-174402-7 978-0-07-174395-2 978-0-07-174388-4 j SO c c Updated student ratings of review resources and apps b HAT ISBN 978-0-07-184006-4 MHID 0-07-184006-0 9 0 0 0 0 Visit: FirstAidfortheBoards.com and FirstAidTeam.com 9 7 8 0 0 7 1 8 4 0 0 6 4 “USMLE” is a registered trademark of the National Board of Medical Examiners.
    [Show full text]
  • Pediatric Welcome to Virtue Chiropractic
    Virtue Chiropractic New Patient Initial Interview - Pediatric Welcome to Virtue Chiropractic. Your time here today is very important. The information you fill in here is paramount to Dr. Loren reaching conclusions and directional decisions about your child’s health, from the past to the present and into the future. If there is anything you’re not sure of then please don’t hesitate to ask one of our friendly team members. About the Child: Last Name: _________________ First: ____________________ Preferred Name: _________________ Gender: Male Female Date of Birth: ________________ Age: _____________ Number of Siblings: ________ Sibling(s) Names & Ages __________________________________ Social Security Number (for insurance purposes) :____________________________________ About the Parent/Guardian: Name: __________________________________ Birthdate: ___________________ Age: _______ Mailing Address: ________________________________City_______________ Zip Code____________ Occupation_____________________________Employer______________________________________ Email: __________________________________________________________________________________ Spouse’s Name: _______________________________________________________________________ Phone: H: __________________ Cell: ___________________ Cell Phone Provider (for reminders): __________________________ Who can we thank for referring you OR How did you hear about us? ______________________ Reason for the visit: ____ Describe the reason for the visit (Please be specific): _________________________________________________________________________________________________
    [Show full text]
  • The Important of Babies' Movement in the First Year of Life
    ISSN 2239-978X Journal of Educational and Social Research Vol. 4 No.3 ISSN 2240-0524 MCSER Publishing, Rome-Italy May 2014 The Important of Babies’ Movement in the First Year of Life Ph.D. Candidate. Sulltana Bilbilaj “Pedagogical Academy Of Tirana“, Tirana, Albania [email protected] Doi:10.5901/jesr.2014.v4n3p381 Abstract Mother is the closest person and the one who has the greatest affinity to her child, so she must have information on the movement in order to be successful during the growing-up and development phase of the child. On birth a baby does not possess control on their willing movements. The child responses the environment stimulus via the primitive reflexes, which are stereotype and automatic movements. When in the womb, the movements of in the primitive reflexes help the brain development. After birth reflexes are survived in order to see the baby’s neurological function. They also offer a great deal of opportunities on various aspects of the later functionality. Their presence or their absence is a crucial factor in different phases to set the foundation for the later development. These primitive reflexes must be stopped slowly during the first year of life and for this the movements are ferial must or condition. Every movement is a motored sensory happening linked with the understanding of our physical word, from where the new information generates. During the six-twelve first months of life the baby starts to grow up and mature, so does even the central nervous system. The primitive reflexes are starting to be replaced by more sophisticated regions of the brain.
    [Show full text]
  • Neonatal Reflexes
    Neonatal Reflexes By Courtney Plaster Neonatal Reflexes Neonatal reflexes are inborn reflexes which are present at birth and occur in a predictable fashion. A normally developing newborn should respond to certain stimuli with these reflexes, which eventually become inhibited as the child matures. What do Primitive Reflexes Have to do With Speech Pathology? • Most primitive reflexes begin to occur in utero through the early months of the child’s postnatal life. • These reflexes are then replaced by voluntary motor skills. • When the reflexes are not inhibited, there is usually a neurological problem at hand. • In those individuals with cerebral palsy and neurogenic dysphagia, the presence of primitive reflexes is a characteristic (Jacobson, p.44). Moro Reflex • Stimulated by a sudden Normal Moro Reflex movement or loud noise. • A normally developing wborn_n_23.m neonate will respond by throwing out the arms and legs Abnormal Moro Reflex and then pulling them towards the body (Children’s Health Encyclopedia). wborn_ab_23.m • Emerges 8-9 weeks in utero, and is inhibited by 16 weeks (Grupen). Palmar Grasp • Stimulated when an object is Normal Palmar Grasp placed into the baby’s palm. • A normally developing neonate responds by grasping the object. wborn_n_26.m • This reflex emerges 11 wks in utero, and is inhibited 2-3 months Abnormal Palmar Grasp after birth. • A persistent palmar grasp reflex may cause issues such as born_ab_26 swallowing problems and delayed speech (Grupen). Babinski (Plantar) Reflex • Stimulated by stroking the sole Normal Babinski of the foot: – toes of the foot should fan out – the foot itself should curl in. wborn_n_21.m • Emerges at 18 weeks in utero Abnormal Babinski and disappears by 6 months after birth (Grupen).
    [Show full text]
  • SPACE OCCUPYING LESIONS and HOMOEOPATHY © Dr
    SPACE OCCUPYING LESIONS AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Homoeo Cure & Research Cenre NH 74- Moradabad Road KASHIPUR (Uttaranchal) India- 244713 Ph /Fax- 05947 260327, 9897618594 SYNONYMS SOL DEFINITION Space occupying lesions of the Brain are a group of heterogenous disorders of various etiologies, which may have a common mode of presentation. CAUSES Brain tumor (the leading cause)- aeth. apom. arn. aur-i. Bar-c. bell. calc. cham. Con. glon. graph. hydr. Kali-i. Plb. PLB-I. sep. staph. sulph. Thuj. zinc-s. Others are- Tuberculoma- Apis Bac. bell. bry. calc. Calc-p. cocc. Cupr-cy. dig. glon. Hell. hyos. iod. Iodof. kali-i. op. stram. Sulph. tub. Verat-v. zinc. zinc-o. Fungal granuloma- ant-t. ars. BELL. calc. carb-v. cham. CON. iod. Kreos. LACH. Merc. nux-v. phos. rhus-t. SIL. sulph. Brain abscess- arn. bell. crot-h. iod. lach. merc-pr-r. op. staphycoc. vip. Neurocysticercosis- Anth. ars. art-v. asaf. bar-m. Bell. Cham. Cic. CINA cupr. cupr-o. Hyos. Ign. Indg. kali-br. kali-c. Nux-v. petr. plat. sabad. Santin. sil. spig. Stann. stram. sulph. tanac. Ter. CLINICAL PRESENTATION It depends on size, location, age and invasive quality of the SOL. The lesions in silent areas of brain i.e. frontal lobe and intraventricular region show their presence only after being very large in size. NON SPECIFIC FEATURES HEADACHE- Location- Often bifrontal or suboccipital, may be temporal. Sensation- Mild to moderate. Modalities- Worse in early hours of the day and ameliorated by vomiting. Concomitants- Nausea, vomiting, bradycardia and irregulaqr respiration. SOL Headache- agar.
    [Show full text]
  • Assessment of Gestational Age by Neurological Examination R
    Arch Dis Child: first published as 10.1136/adc.41.218.437 on 1 August 1966. Downloaded from Arch. Dis. Childh., 1966, 41, 437. Assessment of Gestational Age by Neurological Examination R. J. ROBINSON From the Nuffield Neonatal Research Unit, Institute of Child Health, Hammersmith Hospital, London W.12 In recent years there has been rapidly increasing ence in assessment of muscle tone, to be practicable interest in babies whose birthweight is low because for general use. The present paper reports a study their intrauterine growth has been retarded, and it of the presence and absence of a number of reflexes has been recognized that the clinical problems of in relation to gestational age. Certain of them were these 'small-for-dates' babies differ from those of found to have sufficiently predictable times of true prematures. They rarely die from respiratory appearance to provide simple and reliable indices of distress syndrome or intraventricular haemorrhage, gestational age. but are particularly susceptible to symptomatic hypoglycaemia and intrapulmonary haemorrhage Clinical Material and Methods (Gruenwald, 1963; Dawkins, 1965). It is, there- Eighty-five babies were studied in the Neonatal fore, a matter of practical importance to know Ward at Hammersmith Hospital. Since the aim was to whether a particular baby of low birthweight is truly analyse the behaviour of normal babies of known premature or small-for-dates, a distinction that gestational age, 23 were omitted from the analysis because either their gestational age calculated from the depends on accurate knowledge of the gestational copyright. age. This is most accurately measured by calcula- menstrual dates was uncertain or they had neurological abnormalities.
    [Show full text]
  • View the 2020 Index
    Index A Abruptio placentae, 640 for osteoarthritis, 466 Acid phosphatase in neutrophils, 406 A-a gradient cocaine use, 614 toxicity effects, 485 Acid reflux by age, 668 preeclampsia, 643 toxicity treatment for, 248 H2 blockers for, 399 with oxygen deprivation, 669 Abscesses, 479 Acetazolamide, 252, 552, 608 proton pump inhibitors for, 399 restrictive lung disease, 675 acute inflammation and, 214 pseudotumor cerebri, 521 Acid suppression therapy, 398 Abacavir, 203 brain, 156, 177, 180 Acetoacetate metabolism, 90 Acinetobacter baumannii Abciximab calcification with, 211 Acetone breath, 347 highly resistant bacteria, 198 Glycoprotein IIb/IIIa inhibitors, cold staphylococcal, 116 Acetylation nosocomial infections, 142 438 frontal lobe, 153 chromatin, 34 Acinetobacter spp therapeutic antibodies, 122 Klebsiella spp, 145 drug metabolism, 232 nosocomial infections, 185 thrombogenesis and, 411 liver, 155, 179 histones, 34 Acne, 475, 477 Abdominal aorta lung, 685 posttranslation, 45 danazol, 658 atherosclerosis in, 302 necrosis with, 209 Acetylcholine (ACh) tetracyclines for, 192 bifurcation of, 663 Staphylococcus aureus, 135 anticholinesterase effect on, 240 Acquired hydrocele (scrotal), 652 branches, 363 Toxoplasma gondii, 177 change with disease, 495 Acrodermatitis enteropathica, 71 Abdominal aortic aneurysm, 302 treatment of lung, 192 Clostridium botulinum inhibition Acromegaly, 339 Abdominal pain in unvaccinated children, 186 of release, 138 carpal tunnel syndrome, 459 bacterial peritonitis, 390 Absence seizures opioid analgesics, 551 GH, 329
    [Show full text]
  • Scott Cuthbert, D. C
    Edited by Scott Cuthbert, D. C. 1 ICAK-USA Research The Following is a Compilation of Applied Kinesiology Research Papers Published in the Collected Papers of the International College of Applied Kinesiology for the year 2007-2008 -- Edited by Scott Cuthbert, D.C. 2 A SIMPLE ASSESSMENT FOR MUSCLE IMBALANCE Scott Monk, D.C. ABSTRACT Objective: To present the case of a female child with severe abdominal pain successfully treated using AK methods. Clinical Features: A nine-year-old female presented with constant and daily stomach pain, especially severe in the morning. The symptoms would worsen when she brushed her teeth. Endoscopic exam showed esophagitis, and she was given Prevacid for the acid reflux, and another medication to coat her stomach. Neither had been helpful for her pain. Intervention and Outcome: AK examination revealed minimal disturbances in the spine, pelvis and cranium. Using a homeopathic kit, the child‟s indicator muscles weakened upon insalivation of material from the bacterial vial. Two herbal supplements, Chinese wormwood and Oregon grape root, negated the weakness. After only minimal improvements, the father was asked to bring a sample of tap water from the child‟s bathroom sink. The child weakened with insalivation of the water sample, and this was negated by Oregon grape root. The child was instructed to drink only bottled water and not to use tap water from home. The next day her stomach related symptoms were gone. She remained symptom free at a 6-month follow up. Conclusion: This case demonstrated that the AK method of oral testing was helpful in detecting harmful items in a patient‟s diet.
    [Show full text]
  • Tonic Labyrinthine Reflex
    TONIC LABYRINTHINE REFLEX STIMULATION Recipient stands with feet together. INTEGRATION Isometric Activities 1. Bend head forward and 1. TLR Forward (Flexion) 2. TLR Backward (Extension) look at feet, Position—In turtle position: Position—Lie on back, arms close eyes. at sides and knees slightly a. Flex head forward then curl fexed: chin toward chest and press chin against facilitator’s hand. a. Tilt chin up and press head lightly into foor. 2. Bend head b. Extend head into hand of backward and facilitator. look at ceiling, close eyes. b. Flex head of foor and tilt chin toward chest. INTEGRATION c. Chin fexed toward chest, c. Slight lateral fexion, press head curled, laterally fex head head gently into facilitator’s Developmental Movements and Games slightly to side. Do both sides. hand. Do both sides. Playful Developmental Movement: Roll, rock and spin—with eyes closed and with eyes open Games: On the belly, roll balls to each other; “fy” on belly with legs up and arms out (Bird or Eagle in “Zoo” Exercises); crawl with a soft ball or toy tucked under chin Rhythmic Movement #1: Passive Rhythmic Stimulation from the Knees in Supine Position © 2007–12 Sonia Story and Steven Kane, OTR/L | www.moveplaythrive.com ASYMMETRICAL TONIC NECK REFLEX STIMULATION Invite recipient to: 1. Hold arms straight INTEGRATION out at the shoulder Isometric Activities level, wrists relaxed. Slowly turn head 1. ATNR Back Position 2. ATNR Belly to one side and Position hold, then to the other side and hold. Repeat 2 more times. 2. Track an object back and forth in front of the eyes at a comfortable distance, about 10 or 15 times (less if obvious difculty).
    [Show full text]
  • Pediatric Clerkship
    1 Pediatric Clerkship University of Alabama School of Medicine Tuscaloosa Campus Heather M. Taylor, MD Clerkship Director 2 Department of Pediatrics Faculty and Staff • Karen Burgess, MD Associate Professor of Pediatrics; Director of Residency Affairs for the Department of Pediatrics Email: [email protected] • Elizabeth Cockrum, MD Professor of Pediatrics; Chief Medical Officer of the University Medical Center Email: [email protected] • Ashley Evans, MD Associate Professor of Pediatrics Email: [email protected] • Heather M. Taylor, MD Assistant Professor of Pediatrics; Pediatric Clerkship Director; Associate Director of Medical Student Affair Email: [email protected] • Michael A. Taylor, MD Professor of Pediatrics; Chair of the Department of Pediatrics Email: [email protected] • Mark Thomas, MD Adjunct Assistant Professor of Pediatrics Email: [email protected] • Elizabeth (Beth) Smith, CRNP Nurse Practitioner, Department of Pediatrics • Anita Channell Administrative Assistant, Department of Pediatrics Phone: 348-1304 Email: [email protected] 3 Table of Contents • Overview of Clerkship Objectives and Expectations of Students 4-6 • Clerkship Requirements 7-13 • Final Grade Determination 14 • The Pediatric History and Physical 15-20 • Special Considerations for the Newborn History 21-22 • Special Considerations for the Infant Physical Exam 23-25 • Patient Write-Ups 26-27 • Appendices 28-49 o Appendix A: Tips for Writing Daily Progress Notes 29 o Appendix B: Tips for Writing Admission Orders 30 o Appendix C: Calculating Infant
    [Show full text]