Atypical Paed Motor Development Flashcards

1
Q

T/F: male tend to have a slower development timing than female

A

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

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2
Q

What is Apgar? Describe it.

A

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

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3
Q

What weights are predictors of atypical development

A
  1. LBW (low birth weight): 2.5 kg
  2. Very LBW: 1.5 kg
  3. Extreme LBW: 1 kg
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4
Q

Describe in general what atypical development looks like prenatally.

A
  • behavior can begin in utero

- less mvm and variability in mvm (usually m contract all together then release)

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5
Q

Describe in general what atypical development looks like after birth)

A
  • weak or strong reflex
  • prolonged primitive reflex (lack of normal inhibition) => usually after 4 mo
  • abnormal m tone = hyper or hypo tonic
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6
Q

Describe in general what atypical development looks like in childhood

A

trauma like concussion

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7
Q

What are the principle characteristics of atypical development for righting/equilibrium/protection reactions, muscle tone, motor development, posture

A
  • reactions: poor emergence
  • muscle tone:: altered => hypo or hyper
  • motor dev: predominant flexor extensor pattern
  • posture: asymmnetrical w compensatory movement
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8
Q

What does head control look like in atypic development

A

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

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9
Q

what does postural control during sitting look like for atypical developmen

A

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)
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10
Q

What does fine motor look like w atypical development (7)

A

abnormal m tone

Poor dissociation, co-contraction

Unstable MCP w increase pull

Lack in hand manipulation

Strong dominance

Poor sensation

Poor VM integration

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