Document Detail

Plantar response profile of high-risk infants at one year of life.
MedLine Citation:
PMID:  10456761     Owner:  NLM     Status:  MEDLINE    
To clarify the plantar reflex profile at 1 year of life in different categories of neurodevelopmental abnormalities, plantar responses were examined prospectively in 204 high-risk infants, of whom 58 developed cerebral palsy, 22 had developmental retardation without motor disturbance, and 124 were normal at a follow-up examination at 3 years of age. The plantar response was extensor in 82.3% of infants subsequently found to be neurologically normal at the first month of life, becoming flexor at the age of 9 and 11 months in 68.5% and 86.3%, respectively. Twenty-one (42.9%) of 49 patients with various types of spastic cerebral palsy demonstrated a combined extensor response (ie, dorsiflexion of the great toe with fanning of the remaining toes) as early as the first month of life. Children with spastic quadriplegia and hemiplegia more frequently demonstrated a combined extensor response compared to diplegic patients. The combined extensor plantar response remains a reliable prognostic clinical tool that contributes to an earlier diagnosis of spastic cerebral palsy as early as the first month of life.
D I Zafeiriou; I G Tsikoulas; G M Kremenopoulos; E E Kontopoulos
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of child neurology     Volume:  14     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-14     Completed Date:  1999-10-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  514-7     Citation Subset:  IM    
First Pediatric Clinic, Aristotle University of Thessaloniki, Greece.
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MeSH Terms
Brain Damage, Chronic / diagnosis*,  physiopathology
Cerebral Palsy / diagnosis*,  physiopathology
Follow-Up Studies
Muscle Spasticity / diagnosis,  physiopathology
Reflex, Abnormal / physiology*
Reflex, Stretch / physiology*
Risk Factors

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