Clinical significance of plantar grasp response in infants
Clinical significance of plantar grasp response in infants
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DOI：
10.1016/s0887-8994(98)00103-9
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发表时间：
1999-02-01
影响因子：
3.8
通讯作者：
Goto, M
中科院分区：
文献类型：
--
作者：
Futagi, Y;Suzuki, Y;Goto, M
本研究旨在探讨婴儿足底抓握反应的临床意义。834例正常对照组婴儿在6月龄内均呈阳性反应，1-4月龄时多数反应明显。作者试图评估在这些相应时期反应阴性或减弱的婴儿的神经学结局。从1982年至1992年检查的93名婴儿符合这些标准，并对他们的症状进行了回顾。结果包括75名脑瘫（69名痉挛，4名手足徐动伴痉挛，1名手足徐动，1名共济失调），7名智力低下，2名边缘智力，1名运动迟缓，8名正常。这些结果表明，在婴儿早期，这种原始反射的阴性或减弱的反应高度提示神经系统异常，特别是痉挛。应仔细观察出现此类结果的婴儿是否可能出现神经系统异常。(C)1999年，Elsevier Science Inc. All rights reserved.
The present study was undertaken to delineate the clinical significance of the plantar grasp response in infants. All 834 normal control infants had a positive response within the first 6 months of age, and most of them had a marked response at 1-4 months of age. The authors attempted to evaluate the neurologic outcomes of infants who had negative or diminished responses in these respective periods. Ninety-three infants examined from 1982 to 1992 fulfilled these criteria, and their prognoses were reviewed, The outcomes consisted of cerebral palsy in 75 (69 spastic, four athetoid with spasticity, one athetoid, and one ataxic); mental retardation in seven; borderline intelligence in two; motor delay in one; and eight were considered normal. These outcomes indicate that the negative or diminished response of this primitive reflex during early infancy is highly suggestive of neurologic abnormalities, especially for spasticity. Infants with such findings should be carefully observed for possible development of neurologic abnormalities. (C) 1999 by Elsevier Science Inc. All rights reserved.