Arm recoil

Arm recoil
Medical diagnostics
Purpose Determining muscle tone in newborns

Arm recoil is a neurological examination of neonate for detecting the muscle tone.[1][2]

Procedure

The baby is placed supine, with forearm flexed at elbow. The elbow (forearm) is extended by pulling the hand; then released.[3]

Observation

How quickly the forearm returns to flexed original position and the amount of flexion will designate a score.[1]

  • Grade 0: Arms remain extended 180 degrees or abnormal movements begin
  • Grade 1: Minimal flexion, 140-180 degrees
  • Grade 2: Slight flexion, 110-140 degrees
  • Grade 3: Moderate flexion, 90-110 degrees
  • Grade 4: Quick return to full flexion, less than 90 degrees

Conclusions

More the tone (flexor tone) development more brisk will be the recoil.[1]

Following the same principle leg recoil can be tested.[4]

References

  1. 1 2 3 Wilkins, Lippincott Williams & (2008). Straight A's in Maternal-neonatal Nursing. Lippincott Williams & Wilkins. p. 272. ISBN 9781582556932. Retrieved 8 November 2017.
  2. ↑ Murray, Sharon Smith; McKinney, Emily Slone (2014). Foundations of Maternal-Newborn and Women's Health Nursing - E-Book. Elsevier Health Sciences. p. 406. ISBN 9780323293846. Retrieved 8 November 2017.
  3. ↑ Kacmarek, Robert M.; Dimas, Steven; Mack, Craig W. (2005). The Essentials of Respiratory Care. Elsevier Health Sciences. p. 465. ISBN 9780323027007. Retrieved 8 November 2017.
  4. ↑ Ghosh, Sibarjun. bedside clinics in paediatrics. Academic Publishers. ISBN 9788189781859. Retrieved 8 November 2017.
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