Connolly B H, Michael B T
Phys Ther. 1984 Mar;64(3):304-7. doi: 10.1093/ptj/64.3.304.
The purpose of this study was to determine the relationship between the asymmetrical tonic neck reflex (ATNR) and the occurrence of scoliosis in healthy children. One hundred eighty-four children, between the ages of 10 years, 5 months to 13 years, 10 months, who attended a rural elementary school were selected for the study. The quadruped reflex-inhibiting posture was used to assess the ATNR. A standard orthopedic screening tool was used for assessment of scoliosis. The occurrence of the ATNR in children tended to increase the rate of referral for further testing for scoliosis. In those children who were assessed for scoliosis using roentgenograms and who had a positive ATNR, a relationship occurred between the convex side of the curvature and the side of the ATNR. Results did not show significant differences in the occurrence of the ATNR or scoliosis in regard to sex. Based on the results of this study, the addition of the ATNR testing to scoliosis screening may prove beneficial in the early identification of scoliosis.
本研究的目的是确定健康儿童的非对称性紧张性颈反射（ATNR）与脊柱侧弯发生之间的关系。选取了184名年龄在10岁5个月至13岁10个月之间、就读于一所农村小学的儿童参与该研究。采用四足反射抑制姿势来评估ATNR。使用标准的骨科筛查工具评估脊柱侧弯。儿童中ATNR的出现往往会增加因脊柱侧弯进一步检查而转诊的比例。在那些通过X线片评估脊柱侧弯且ATNR呈阳性的儿童中，脊柱弯曲的凸侧与ATNR的一侧之间存在关联。结果显示，在ATNR或脊柱侧弯的发生方面，性别之间没有显著差异。基于本研究结果，在脊柱侧弯筛查中增加ATNR测试可能有助于早期发现脊柱侧弯。
