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Tonic Reflexes of the Foot Their Orthopaedic Significance in Normal Children and in Children with Cerebral Palsy
William R. Duncan
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Orthopaedic Service of the Children's Orthopedic Hospital, Seattle
1960 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1960; 42:859-874 
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Abstract

1. Four tonic reflex movements of the foot can be elicited in normal infants and in some older children with cerebral palsy.

2. The disappearance of these tonic reflexes with growth appears related to maturation of the central nervous system.

3. Certain physiological features of these reflex movements are discussed, including the reflexogenous areas, sensory receptors, reflex arcs, associated movement, and disappearance.

4. These reflexes are of orthopaedic interest in that they may, by their occasional unopposed action, cause deformity.

5. It is suggested that these slow tonic movements represent a summation of many instantaneous reflexes, and that these instantaneous reflexes are distally located trigger mechanisms that initiate balancing reactions.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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