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WebAs expected mathematically, the frequency of clonus varies inversely with the length of the reflex path (r = 0.80, p < 0.001). Management of clonus requires multi-disciplinary collaboration between neurologists, orthopedists, physical therapists, and others. If your child has normal muscle tone of extremities, he is obtaining developmental milestone as schedule and there was no concern of injury at birth, then you can rest assured. reflex is present in the first 3 to 4 months of life. Normal Exam Once clonus is observed, it becomes incredibly important to try and determine the cause of the neurologic issue. In premature babies Serotonin syndrome (SS) is an under diagnosed and under reported condition. Surgery can either be done to release a tendon which has become inflamed and caused a contracture of the underlying muscle, or it can be done to sever the affected neuron-muscle pathway. This baby is almost 3 months old. Ankle clonus in children with milestones and good physical is normal, no need for treatment or any examination. Abnormal Exam WebOn assessment, the nurse finds the following vital signs: temperature 37.3 C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The truth is that myoclonus occurs in nearly everyone, not just those with anxiety, and so it may not even be anxiety related at all. ", Rehabilitation Research and Practice: "Clinical Understanding of Spasticity: Implications for Practice.". ", Clinical Anatomy of the Spine, Spinal Cord, and ANS: "Neuroanatomy of the Spine. Acupuncture - Ayurveda - Homeopathy - Naturopathy - Chinese or Oriental Medicine - Chiropractic Medicine - Energy Therapies - Magnetic Field Therapy - Reiki - Herbal Medicine - Yoga. 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