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What is ATNR?
ATNR or asymmetrical soda pop nerve reflex is a naive reflex , found in newborn babies . It normally persist until 6 month of the child ’s age .
It emerge in utero after 18 months of conception and is see and identified within 3 month after birth .
The reflex gets initiated when the head go to the right and provide side while lying on the back . The turning of the head leads to the extension of the arm and legs of one side and flexion of the other side of the leg and arm .
turn the head to the right causes the correct arm and ramification to extend and the left arm and left leg to flex . Due to this pattern , it is also know as the fencer ’s reflex . It looks like the picayune one is holding a swordsman ’s pose .
ATNR begins in the womb and stays till 5 - 7 months of years . But in some babies , ATNR does not integrate properly . They still exhibit the reflex beyond the mediocre timeline . This is believed to be associated with developmental delays . The condition is call retained ATNR .
What is Retained ATNR?
If the baby continues to show ATNR even after 7 months , it is known as hold back ATNR . Some research worker link ATNR to potential developmental delay that could present themselves for years after babyhood .
Studies get hold that retain ATNR could negatively affect children ’s meter reading capabilities.(1 )
Some reflexes that could be link to retained naive reflexes admit :
A study found a link between retain primitive reflexes and delay motor development in lowly birth weight babies.(2 )
Another study done in 2018 found 4 - 6 tike who keep primitive reflex , had reduce motor development skills.(3 )
As noted in the 2019 continue education module , the American occupational therapy association discover it as a very controversial subject.(4 )
What Are The Signs and Symptoms of Retained ATNR Reflex?
There is a with child gap between , when a baby should have integrated ATNR and when they might feel recitation and writing developmental delays .
Those who conceive there is a link between non - integrated ATNR and developmental delays , there are certain signs that if taken care of can minimize the likely developmental and learning delays . The signs admit :
In older children the signs show are :
These symptoms are just a theory . For the adept course of intervention for a child ’s unique situation , it is good to verbalize with a doctor .
When A Doctor Should Be Consulted?
If a baby struggles in keeping balance or have difficulty with optic tracking , an atypical presentation of ATNR can be explored .
In older children , the signs and symptom name above can be looked for . If there are any worry about the child ’s development , a baby doctor should be consulted . An rating by an occupational therapist may also be required .
If the pediatrician agrees that the ATNR has not integrated , they may puzzle out by perform childlike practice session , games and activities as per the small fry ’s years .
The main goal of the discourse is to create movement that mimic the former reflex movement and make hear neural pathways that would help incorporate ATNR .
Not all occupational therapists believe there is a link between developmental holdup and retained crude reflexes like ATNR . More enquiry is needed to clear name the connection .
ATNR is one of the many reflexes that are seen in the babe as they are behave . If interested that your child is show developmental delay confer with a pediatrician for a better opinion .