Bartlett D
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
J Dev Behav Pediatr. 1997 Jun;18(3):151-7. doi: 10.1097/00004703-199706000-00002.
To investigate the relationship between primitive reflexes and typical early motor development, 156 full-term infants with normal 18-month developmental outcomes were assessed using a modified Primitive Reflex Profile (PRP) and the Alberta Infant Motor Scale (AIMS) at 6 weeks and 3 and 5 months. No significant positive or negative correlations were obtained between the scores of the PRP and the AIMS at any of the ages assessed. Similarly, PRP scores did not differ between infants scoring above and below the 50th percentile on the AIMS. Primitive reflexes were unrelated to motor development. If this finding is maintained among infants at risk for motor disability, observational assessment of spontaneously generated movement, rather than isolated testing of primitive reflexes, might yield more valuable information on the child's overall level of maturation. Intervention for children with identified motor delays or neurological impairments might not need to be focused on either suppression or enhancement of these motor functions.
为了研究原始反射与典型早期运动发育之间的关系,我们使用改良的原始反射量表(PRP)和艾伯塔婴儿运动量表(AIMS),在6周龄、3月龄和5月龄时,对156名18个月发育结局正常的足月儿进行了评估。在任何评估年龄,PRP得分与AIMS得分之间均未获得显著的正相关或负相关。同样,在AIMS得分高于或低于第50百分位数的婴儿之间,PRP得分也没有差异。原始反射与运动发育无关。如果这一发现适用于有运动障碍风险的婴儿,那么对自发产生的运动进行观察性评估,而不是对原始反射进行单独测试,可能会得出有关儿童整体成熟水平的更有价值的信息。对于已确定有运动发育迟缓或神经损伤的儿童,干预可能无需专注于抑制或增强这些运动功能。