Neonatal posture and movement check
Posted by admin on Tuesday Jul 27, 2010 Under Children's EducationScreening of pregnant posture and movement to take off clothes, open the diapers, children quiet observation and movement of the position, do not start immediately when the children touch the body. Note that if symmetry around.
More than the normal full-term children for the lateral position during quiet, upper and lower limbs flexion. To supine position and neck were placed close to the bed can be no gaps, such as neck extensor hypertonia, the neck and the bed of a triangle between the gap. Relatively large preterm children occipital, neck, and the bed of a triangle between the gap, not an exception.
Newborn supine position, the two outreach mild thigh, knee, hip and ankle flexion, a breech delivery if the newborn often has two leg extension position.
When neonatal hypotonia of lower limbs flexion when supine outreach, lateral thigh close to the bed, hip, knee and ankle have access to the bed; upper elbow flexion, both hands placed on the head side, back close to the bed , palms facing up. Overturned the position like a frog belly.
Normal newborn prone position, the head twisted to one side, flexion, knee flexion in the fuselage, pelvic opposeth and exalteth.
Hand posture during sleep was mild fist-like, on the other fingers, thumb, the opening can be a spontaneous and fist action, if a very tight fist, thumb pressure within the other four fingers and can not spontaneously open, an exception .
If opisthotonos an abnormal posture, head and face are often first exposed the children back, but normal muscle tone, do not mistaken opisthotonos.
Such as the position left-right asymmetry, we should pay attention to whether there is hemiplegia, fractures or brachial plexus injury.
Neonatal spontaneous movement, including movement and passive movement, the former is not given to the movement when external stimulation, such as tics, jitter, and tremors. Passive movement, such as Moro reflex, startle reflex performance in action.
Neonates during exercise on both sides of limb movement should pay attention to the scope of power is symmetrical, if significant asymmetries have clinical significance.