Atypical Development Flashcards
0-2 months
- Track rattle to midline on both sides
- Grasps rattle and holds for 30 seconds
- On stomach- Lifts and turns head so opposite cheek touches surface
- Elevates head and upper trunk 45 degrees bearing weight on forearms or hands
- Holds back in rounded position when sitting
- Grasp Reflex is present
- ATNR is present
- In supine, the infant has increased variability of movements in their lower extremities.
- In prone, the infant can lift head in 45 degrees of extension for a brief period of time.
- Elbows are behind the shoulder girdle.
3-5 months
- Grasps and holds cube
- Maintaining head in midline, brings both hands to midline while lying on back
- Brings both feet to mouth for play on back
- Maintains short balance while sitting
- Lying on back engages fingers in mutual touching
- During play and exploration the infant uses mouth to explore the hands and toys, hand-to-hand, and hand-to-body contact.
- In prone, the infant can hold head in 90 degrees of extension in midline.
- Forearm weight bearing is present with the occasional extended arms.
- Supine, hands to knees
- Rolling to side
when are the first signs of locomotion?
3-5months
6-8 months
- Picks up two cubes and retains them
- Rolls from back to stomach
- From stomach, raises upper trunk, shifts weight side to side, lifts free arm towards toy
- Grasps both feet on back and holds them
- Maintains balance in sitting while moving hands and arms to grasp toy
- Grasps cube with thumb and first finger and 2nd fingers with space visible between cube and palm
- Sits independently
- Palmar or radial palmar grasp is present
- Rolling from supine-prone; Initiated by flexion, rotation, and lateral weight shift.
- Play, Play, Play!!
Why at 6 months is it that a kid can pick up two cubes
because radial grasp is coming into play.
In regards to development time lines:
* When should we be concerned?
* When should we offer services?
* What should we DO?
physical observations begin when?
3-8 months
what are we assessing at 3-8 months
anti gravity movement, midline, sitting up independently, shifting weight. all that transitional stage. when those things aren’t going on that’s a red flag
What are the main things we are assessing?
- Variability of movement
- movement against gravity
- muscle tone
What is muscle tone
the readiness of the muscle to do it’s job
what would a low tone/ hypotonicity kid have trouble with
balance, strength, postural support, moving against gravity, difficulty with reaching
Common childhood diagnosis that cause low tone
down syndrome, cerebal palsy, prematurity, autism (sometimes) and many other syndromes. brain injuries
common childhood dx that cause high tone
CP, prematurity, brain injury, spinal cord injury and other medical conditions.
Typical supine observation
- Head in midline
- Pelvic lifting (feet off floor)
- Hand movement- against gravity, grasping object
- Eyes- track object 180° side to side
Supine - atypical
- Head asymmetrically to side, does not hold in midline
- Decreased antigravity movement
- Poor to no grasping (any grasping reflexes?)
- Poor or decreased tracking; difficulty at/past midline
- Poor abdominal action
