The grasp reflex and moro reflex in infants: hierarchy of primitive reflex responses

Yasuyuki Futagi1, Yasuhisa Toribe, Yasuhiro Suzuki

  • 1Department of Pediatric Neurology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka 594-1101, Japan.

Insights

Primitive reflexes like the plantar and palmar grasp reflexes are clinically significant for detecting spasticity and other conditions in infants. The Moro reflex

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Clinical Neurology

Background:

  • Primitive reflexes, including grasp and Moro reflexes, are crucial in neonatal assessment.
  • These reflexes provide insights into neurological development and potential abnormalities.
  • Their underlying spinal reflex mechanisms and higher regulatory control are areas of ongoing research.

Purpose of the Study:

  • To highlight the clinical and diagnostic significance of plantar and palmar grasp reflexes.
  • To discuss the role of the Moro reflex in neonatal assessment and its diagnostic implications.
  • To explore the neurophysiological basis and phylogenetic relevance of these primitive reflexes.

Main Methods:

  • Clinical observation and assessment of neonatal reflexes.
  • Review of neurophysiological mechanisms underlying primitive reflexes.
  • Discussion of phylogenetic and evolutionary perspectives on neonatal reflexes.

Main Results:

  • Plantar and palmar grasp reflexes are significant indicators for detecting spasticity and other neurological conditions.
  • The absence of the Moro reflex is highly diagnostic for various compromised neonatal conditions.
  • Primitive reflexes appear to be mediated by spinal mechanisms under supraspinal control.

Conclusions:

  • Primitive reflexes are essential tools for neonatal neurological evaluation.
  • Understanding these reflexes aids in early diagnosis and management of developmental disorders.
  • Further research is needed to fully elucidate the phylogenetic role and precise neural control of these reflexes.

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