Atypical Paed Motor Development Flashcards
T/F: male tend to have a slower development timing than female
T: bc males have X and Y genetic vs female have 2 Xs so if something wrong w one X, the other can compensate in girls
What is Apgar? Describe it.
Predictor of atypical development
Activity (muscle tone): 0 - absent, 1 - flexed arms and legs, 2 - active
Pulse: 0 - absent, 1 -<100 bpm, 2 -> 100 bpm
Grimace (reflex irritability): 0 - floppy, 1 - min response to stimuli, 2 - prompt response to stimulation
Appearance (skin color): 0 - blue/pale (hypoxic), 1 - pink body/blue limbs, 2 - pink
Respiration: 0 - absent, 1 - slow irregular, 2 - vigororous cry
What weights are predictors of atypical development
- LBW (low birth weight): 2.5 kg
- Very LBW: 1.5 kg
- Extreme LBW: 1 kg
Describe in general what atypical development looks like prenatally.
- behavior can begin in utero
- less mvm and variability in mvm (usually m contract all together then release)
Describe in general what atypical development looks like after birth)
- weak or strong reflex
- prolonged primitive reflex (lack of normal inhibition) => usually after 4 mo
- abnormal m tone = hyper or hypo tonic
Describe in general what atypical development looks like in childhood
trauma like concussion
What are the principle characteristics of atypical development for righting/equilibrium/protection reactions, muscle tone, motor development, posture
- reactions: poor emergence
- muscle tone:: altered => hypo or hyper
- motor dev: predominant flexor extensor pattern
- posture: asymmnetrical w compensatory movement
What does head control look like in atypic development
No attempt to lift head when lifted nor in prone w still legs
supine: pushes back w head (should be chin tuck), hands fisted w lack of arm mvm
what does postural control during sitting look like for atypical developmen
risk of lordosis or scoliosis (sideway curvature)
- rather than sitting on bum => will sit on pelvis b/w feet for wider base of support (W sitting position)
What does fine motor look like w atypical development (7)
abnormal m tone
Poor dissociation, co-contraction
Unstable MCP w increase pull
Lack in hand manipulation
Strong dominance
Poor sensation
Poor VM integration