Monday, 7 July 2025

What is Symmetrical Tonic Neck Reflex - STNR

 STNR stands for Symmetrical Tonic Neck Reflex.

It is a primitive reflex seen in infants that helps prepare the body for crawling.

How STNR Works:

When the baby's head moves, the arms and legs respond in a specific way:

  • Head bends forward (flexion):
    → Arms bend (flex) and legs straighten (extend)

  • Head tilts back (extension):
    → Arms straighten (extend) and legs bend (flex)

🕒 When does STNR appear and disappear?

  • Emerges: Around 6 to 9 months of age

  • Inhibits (disappears): By 11 to 12 months

This timing helps the baby transition from lying to crawling.

🚩 If STNR persists beyond 12 months:

It may indicate neurological immaturity and can affect:

  • Crawling

  • Sitting posture

  • Hand-eye coordination

  • Classroom skills like copying or writing

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