The Moro reflex is an important tool for any pediatric osteopath. The Moro reflex allows the pediatric osteopath to assess the neurological status of the infant and also to assess torticollis.
In the Moro reflex video we will learn the following:
a) The exact definition of the Moro Reflex
b) How to execute the Moro Reflex
c) What the Moro Reflex tells us about the patient
d) Differential diagnosis of the Moro Reflex findings
What is the Moro Reflex?
3 outcomes of the Moro Reflex:
Both an asymmetrical Moro reflex or an absent Moro reflex require further investigation for the following reasons: both an absent and an asymmetrical Moro reflex are as a result of birth trauma:
Absent Moro Reflex
An absent Moro reflex is normally as a result of trauma to the higher centers such as in the case of cerebral palsy. For this reason, an infant that exhibits an absent Moro reflex requires a thorough neurological examination.
An asymmetrical Moro Reflex
An asymmetrical Moro reflex on the other hand is normally as a result of a local trauma either to a peripheral nerve such as the brachial plexus or as a result of fracture to the clavicle. For this reason an infant that presents with an asymmetrical Moro reflex requires further examination in the form of neurological examination, local palpation and X-ray.
Fractures of the clavicle in the infant:
Fractures of the clavicle in the newborn are the most common fracture to occur during delivery even in natural, spontaneous deliveries. Clavicular fractures often go unnoticed which is why it is so important for the osteopath to consider fractures of the clavicle even when there has not been a previous diagnosis made in the hospital.
The Moro Reflex and Torticollis:
From an osteopathic points of view, the Moro reflex can also be used to assess torticollis. The osteopath will note that the side on which the torticollis is suspected will maintain a more flexed position than the contralateral arm.
How long does the Moro Reflex last?
The Moro reflex typically lasts between 2 to 4 months and disappears by the sixth month once the baby's neck can support its head. A continuation of the Moro reflex beyond the six-month mark could be a sign of a more serious problem and requires further neurological investigation.