Reflex Lab: I am going to see how well your body responds when I move you

Reflex
ATNR

Test Position
Laying Down
Supine (on back)
Pone (on stomach)
Can you please lay on
your stomach

Stimulus

+ Response

Tilt Head to the Right

and Left

(+) Arm by face extension/ other arm flexion (leg

flexes on same side)

Can you please turn your

head to the right

(-) Nothing (normal)

Head Flexion (head

toward chest)

(+) Head Flexion: hips forward and arms bent slightly

- (Sitting) arms bend and legs extend

Please bring your head

toward your chest

(+) Head Extension: hips back and arms extend

- (Sitting) arms extend and legs bend in

Head Extension (head

back)

(-) Nothing (normal)

Sitting Up (feet flat on

floor)
Can you please sit with
your feet flat on the floor
STNR

Quadruped (all fours)

Can you please get on
your hands and knees
Sitting
Can you please sit with
your feet flat on the floor

Please look up to the

ceiling

TLR: prone

Stomach (arms up by
head)

Sit up

(+) Difficulty getting up; check for tone in muscles of

arm and legs

Can you lay on your

stomach and put your
hands next to your
shoulder

Can you please try to sit

up

(-) Can sit up without help (normal)

TLR: supine

Back (arms to side)

Sit up

Can you lay on your

back with your arms at
your side

Can you please try to sit

up

(+) Difficulty getting up check for tone in muscles of

arm and legs
(-) Can sit up without help (normal)

Check Tone in Arms and Legs:

Arms and Legs: Laying in prone or supine
Lift arm supporting wrist and elbow
Have ct. relax and not try to do anything
See if ct. is pushing against you (Hypertonia)
See if ct. is loose or floppy (Hypotonia)

Associated
Reactions

Sitting/ Standing

Squeeze Ball in hand

(+) Both hands/fingers flex

Can you sit with your

feet flat on the floor

Can you squeeze the ball

in one hand

(-) Only one will flex

*Problem occurs when hands cant work together

or
Can you please stand
Sitting or Standing
Grasp
Reflex

Can you sit with your

feet flat on the floor

Tactile input to ulnar

side of hand

(+) Strong grip of whole hand and fingers (cannot let

go)

Hand
(ULNAR side Pinky)

(-) Open and close around object

or
Can you please stand

Can you put out your

hand, palm facing up

Righting
Reactions

Sitting/ Standing/ Lying

Down/ Yoga Ball

*also seen with

TLR

Can you please sit with

your feet flat on the floor
or sit on the mat with
your legs crossed

Rolling: Lift head in

prone or supine position

Can you lay on your

stomach

Try to roll over

*If ct. is young

Sitting/ Tall kneeling

Ball or standing

Push gently to back,

front, and sides
Multiple rotations on
ball

Equilibrium
Reactions

Can you please sit feet

flat on the floor, tall
kneeling on the mat,
stand, or sit legs crossed
on the mat
Protective
Extension

Sitting/ Tall kneeling

Can you please sit feet
flat on the floor, tall
kneeling on the mat, or
sit legs crossed on the
mat

Right the head to keep

in line with gravity

(+) Bring head to midline when moved off center

(-) Head wont move to midline or cant move head at
all

(+) Body is able to stabilize sudden movements

(-) Fall over or have to use protective reaction

I am going to gently push

your body in different
ways
Push to back, front, and
sides

(+) Arms come out to protect fall

(-) Arms do not protect

I am going to gently push

you and I want you to
catch yourself from falling