1-3 months Flashcards
Overview of one month old
Physiologic flexion continues Initiation of cervical spinal extensors to lift head to turn (antigravity ext) Hands to mouth No UE reaching Family adjustments
One month old - prone
More hip extension and subtle weight shift caudally
Activation of shoulder cuff mm resultin gin more ER and Abd
Hands remain near head
One month old - pull to sit
Head lag persists
Significant head lag but is developmentally appropriate for 1 month old
Manual contacts on scapular
Head lag is evident
One month old - sitting
Limited extensor tone
Cervical extensors beginning
Additional support allows stabilization for inc cervical extension
One month old - hands to midline
Head and hands in midline and to mouth
Grasp reflex present
No purposeful reaching
One month old - positive supporting reactions and leaned forward
Positive - when you put them on their feet their legs positively support them
Leaned forward - reciprocal steps
One month old - visual
Stares at objects Tracking to midline Binocular vision begins at 6 wks Prefers human face, knows moms face vs. stranger Makes eye contact and may smile Prefers patterns over colors
One month old - oral
Cries in order to have their needs met
Cycle for feeding - 1 to 2 night feedings
Imitates tongue protrusion
Two month old - colic
May/may not happen
Some thick could be GI issue or neurological maturation
Two month old - period of purple crying
Need to educate families so that they know it is normal - peaks around two months old
Two month old - prone skills - motor development
Gradual decrease in physiological flexion
Active extension is limited but progressing
Two month old - increased mobility into
extension
Anti-gravity ext still oncoming, not fully developed
Nice ext through trunk
LE - hip ext, knee ext, ankle PF
Two month old - ventral suspention
Give you an idea of tone
Active cervical extension if higher tone
Two month old - supine - vision
Attention and fixation
Two month old - supine - head
rotation
Two month old - supine - UEs
Position
ATNR - purpose at this age
Two month old - supine skills - LE
Variable kicking pattern
Feet touch each other
Two month old - sitting skills - pull to sit
Moderate lag
Two month old - sitting skills - head
Labyrinthine and optical righting
Two month old - visual
Inc in focusing on objects
Tracking across midline
Follow person in room
Two month old - Oral
Can quiet themselves by sucking
Two month old - UEs
May swipe at objects, grasp reflex slowly diminishing
Three month old - prone skills
Beginning POE - movement towards active shoulder girdle
Expansion = scaption co activation
Prepares for crawling
Three months old - pron skills - WB with POE provides
Proprioceptive input
Stengthening of shoulder and hands
Three months old - prone skills cont
Muscle balance
Good cervical ext with some rotation and weight shift
Smiles
Excessive ext = symmetrical creases
If asymmetry is present - presents as crease on one side - torticollis
Three months old - sitting skills - head
Greater balance btw flex and ext
Less bobbing
Greater cervical elongation
Three month old - stepping
Supported stepping may continue
Three month old - vision
Eye contact and focus for up to 45 minutes
Visually tracks 180 using head and eyes
Saccadic to smooth tracking
Color division - 3 months
Often will stop volitional movement as intently focus
Will cry if mother leaves area
Three month old - sensory summary - auditory
nn myelination 10 days to 1 month
Three month old - sensory summary - oral
Vocalizes when spoken to
Three months old - sensory summary - cognitive
Early signs of memory - bored with repetitive toys, associates bottle warmer/microwave beep with warm bottle
Three months old - sensory summary - Visual
Prefers humans face at 3-4 weeks
Binocular vision begins at 6 weeks
Imitates tongue protrusion at 6 weeks
