Testing for a persistent ATNR (Asymmetric Tonic Neck Reflex) using Schilders and Quadruped Testing
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- Опубліковано 7 сер 2024
- The Asymmetric Tonic Neck Reflex, or ATNR, is a primitive reflex present from birth involved in head rotation with arm and leg extension. This reflex is believed to be involved in developing hand/eye coordination, development of same-sided movements, as well as providing a protective function of keeping the airways free when laying on the tummy.
However, persistence of this reflex has been associated changes to normal development. As it is a reflex that promotes same-sided activity, the normal brain crossing becomes affected and your child may have difficulty performing tasks that require crossing the midline, difficulty with eye movements across midline, as well as tasks such as writing.
So does your child have unusual posture when writing?
Perhaps they have some difficulty crossing the midline?
Perhaps they're even having a hard time learning how to roll over - that arm sticking out might be getting in the way!
Have a look at these two tests, as they might help you with your child!
Thank you for the demonstration. It would be great to see it done with more kids and with short sleeves in the quadruped version.
That is a very good idea. It will make observing the subtle movements that can occur much easier to see.
I'll remember when I do an update! Thanks for the comment!
Hello there, thank you for such a helpful video. I'm wondering if an ATNR can return after being corrected?
Certainly can! When you say "corrected", its really more "inhibited" or being turned off. If there is any disruption (could be trauma, could be degeneration, could be something more sinister) and that inhibition is affected, it will come back on through!
My son - the boy in the video - used to have his come through every now and then if I don't keep on top of things. But its been more settled in him for about the past 6 months, so I think the pathways involved in keeping it off have strengthened to the point it would be considered "integrated".
Great question!!
@@AskDrChristian thank you so much for your reply, much appreciated and so informative
How do you fix / integrate it?
Hi Gwen,
This is a very case-dependent question. It's usually a combination of manual therapy, exercises, challenges, nutritional support, and stimulations that help to turn back on that control from upstairs that is not working as it should. My son (the little boy in this video) needed work on his wrist while performing a motion with his head - and after just two sessions it was settled again!
So great question, but very difficult to answer in a specific manner!
Christian