Atypical

Question 1

ATYPICAL (6)

0-2 Months

Answer 1

1-strong extension

2-unable to lift head in prone

3-no WB in supported standing

4-no kicking

5-strong asymmetrical postures

6-hypotonia

Question 2

ATYPICAL (4)
‘
3 months

Answer 2

1) SUPINE: minimal kicking
2) no hands on body exploration
3) unable to lift head
4) no attempt to lift head when pull to sit

Question 3

Atypical (6)

4 months

Answer 3

1) poor MIDLINE orientation of head and hands
2) unilateral UE use
3) prone unable to LIFT HEAD
4) pull to sit, no assist with HEAD LIFT
5) unable to RING SIT
6) no WB in supported standing

Question 4

Atypical (5)

5 months

Answer 4

1) supine: no hands to feet or foot to mouth, poor midline orientation
2) rolls to side via extension
3) sidelie: no lateral flexion, no LE dissociation

4 )cannot ring sit

5) no WB or extension in standing

Question 5

Atypical (3)

6 months

Answer 5

1) prone: maintains frog leg position, no UE WB
2) pull to sit: head lag, shoulder elevation (traps instead), no initiation
3) standing: WB on toes, LE extended

Question 6

Atypical (5)

7 months

Answer 6

1) supine: prefers supine
2) prone: not reaching in all directions for toys
3) sitting: independent ring sit only, cannot transition in/out of sitting
4) quadruped: bunny hop
5) standing: no WB or weightshifting, heels not on floor

Question 7

Atypical (3)

8-10 Months

Answer 7

1) sitting: “w” or ring only, no transitions in or out, cannot sit independently
2) crawl: bunny hop or no crawling, cannot climb on furniture, scooting on butt
3) standing: weight on toes, unable to weight-shift, unable to reach for or play with toy

Question 8

Atypical (3)

11 Months

Answer 8

• in addition to what was mentioned
  1) no cruising
  2) no forward walking with hands held
  3) commando crawling

Question 9

4 observable stages of postural control

Answer 9

1. LOWEST LEVEL OF POSTURAL CONTROL: infant falls to stop a movement
2. infant will extend and abduct arms or legs to stop a fall (increase BOS)
3. lateral righting reaction of the trunk to stop a movement or prevent a fall
4. MATURE LEVEL OF POSTURAL CONTROL:: equilibrium reactions to stop a movement or a fall–balance of extensors and flexors: lateral and diagonal movements

Question 10

protective response-purpose-what movements of limbs-in standing -in sitting-when impaired?

Answer 10

PURPOSE: regain balance when center of mass has been pushed beyond base of support

movements are in FRONTAL and SAGITTAL planes: aBduction and extension of arms or legs to stop the falling

standing: stepping strategy

in sitting: forward/ lateral/ posterior protective are used

***IMPAIRED WITH hemiparesis, CMT (torticollis), brachial plexus injury

Question 11

equilibrium reactions

Answer 11

infant is tilted slowly off balance, he automatically moves his head, trunk, and limbs in the opposite direction of the tilt to maintain balance

developmental sequence

6 months: prone

8 months: supine, sitting

10-12 months: quadruped

12-21 months: standing

Question 12

equilibrium reactions –positive if

Answer 12

positive if head and trunk righting occurs away from the weight shift am and leg opposite the weight shift abduct

trunk rotates: curves their trunk in the opposite direction of the tilt to maintain balance

Question 13

Speech and Language (3)0-3 monthsHearing and understanding

Answer 13

1) Startles to loud sounds
2) quiets or smiles when spoken to
3) in response to sound: increase or decrease in sucking

Question 14

Speech and Language (3)0-3 monthsTalking

Answer 14

1) cooing and gooing sounds
2) cries differently for different needs
3) smiles when sees you concerning if not making soundsshould smile back

Question 15

Speech and Language (3)4-6 monthsHearing and Understanding

Answer 15

1) eyes move in direction of sound (tracks sound

)2) notice toys that make sounds

3) pays attention to music

Question 16

Speech and Language (4) 4-6 monthsTalking

Answer 16

1) babbling
2) laughs
3) vocalizes excitement and displeasure
4) makes gurgling sounds

Question 17

Speech and Language (3)7 months-1 yearHearing and Understanding

Answer 17

1) likes peek-a-boo
2) turns and looks in direction of sound
3) understands simple instructions; begins to respond to requests (ie come here or want more)*social interactions

Question 18

Speech and Language7 months-1 yearTalking

Answer 18

1) uses gestures to communicate
2) 1-2 words (hi, dog, dada, mama) may not be clear
3) uses speech or non crying sounds to get attention *concern frustrated if always cries to get attention because cannot communicate

Question 19

RED FLAG/Clinical Signs exist to help identify children at risk for language delay and/or ASDlanguage delayautism (ASD = autistic section disorder)

Answer 19

1) ANY LOSS OF SPEECH, BABBLING, OR SOCIAL SKILLS AT ANY AGEBY 12 MONTHS
2) no babbling by 12 months old
3) no back and forth gestures as pointing, showing, reaching, waving by 12 monthsBY 16 MONTHS
4) no words by 16 monthsBY 24 MONTHS
5) no 2 word meaningful phrases (does not include imitation or repetition) by 24 months

Question 20

Baby Sign Language

Answer 20

pre-verbalteaches:

1. joint attention
2. sign and use the word for the action
3. hand over hand to create the sign
4. imitates the sign look for approximation