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Determining muscle tone in newborns: Arm recoil is a neurological examination of neonate for detecting the muscle tone. [1] [2] Procedure
Whereas the neurological criteria depend mainly upon muscle tone, the physical ones rely on anatomical changes. The neonate (less than 37 weeks of age) is in a state of physiological hypotonia. This tone increases throughout the fetal growth period, meaning a more premature baby would have a lesser muscle tone. It was developed in 1979. [1]
The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
It consists of the assessment of heart rate, respiratory effort, muscle tone, reflex irritability, and generalized skin color. Apgar scoring is performed one minute and five minutes after birth. Scoring ranges from 0 to 10, with 0 indicating severe neonatal distress and 10 indicating a smooth transition to extrauterine life.
Hypotonia is a state of low muscle tone [1] (the amount of tension or resistance to stretch in a muscle), often involving reduced muscle strength. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength.
Tone (muscle tone) Abnormal: Limp, rigid, or absent muscle tone; Normal: Good muscle tone with good movement of the extremities. Infants should strongly resist attempts to straighten their limbs. Irritability Abnormal: Crying is absent, or abnormal. The child cannot be stimulated to cry.
The afflicted offspring typically show skeletal muscle hypotonia (i.e., poor muscle tone) and weaknesses that are most prominent in head and neck muscles and cause facial diplegia (i.e., paralysis or weakness of the skeletal muscles on both sides of the face), reduced control of swallowing; weak crying, sucking, and chewing; the inability to ...
A biophysical profile (BPP) is a prenatal ultrasound evaluation of fetal well-being involving a scoring system, [1] with the score being termed Manning's score. [2] It is often done when a non-stress test (NST) is non reactive, or for other obstetrical indications.