Chapter 7 Flashcards
Locomotion:
- The act of moving from place to place
- Complex activity that involves many interacting systems and constraints
- Various methods
- Type might be dependent on interacting constraints
Childhood locomotion constraint examples:
- height
- weight
- lengths
Adult locomotion constraint examples:
- motivation
- perceived gender association (skipping is for girls)
Old age locomotion constraint examples:
- structural constraints: physical characteristics
- functional constraints: fear of falling or loss of balance capability
- environmental constraints: weather changes
Individual constraints of infant locomotion:
- certain milestones need to be reached:
- lifting head in prone position
- enough strength to support and move themselves
- uncouple limbs
Environmental constraints of infant locomotion:
- Environment must allow for infant locomotion
- Infant must evaluate the environment to see how well it matches their individual constraints
Adolph’s suggestions on environment for infant locomotion:
- Surface with continuous path
- Large enough to allow passage
- Sturdy to support body weight
- Firm
- Flat
- Sufficient friction to maintain balance
First types of locomotion that infants exhibit are usually ____ and _____, which occur when ____ limbs are in contact with the supporting surface.
- creeping
- crawling
- all 4
Crawling:
infant’s chest and stomach also touch the surface
Creeping:
only hands and knees touch the surface
Progression of skills that lead to creeping and crawling:
- Crawling with chest and stomach on floor
- Low creeping with the stomach off the floor but the legs working together (symmetrically)
- Rocking back and forth in the high creep position
- Creeping with the legs and arms working alternately
Name another form of quadrupedal gait:
walking on hands and feet
Walking on hands and feet often emerge because of…
- dynamic systems approach
- results from infrequently occurring interactions between constraints
What type of constraints lead to walking on hands and feet?
- Environmental constraints related to crawling surface may make knee support uncomfortable (eg. gravel, asphalt)
- Reinforcement or response of parent or caregiver
- Above or above average strength and health of the infant
What remains the same across the lifetime is the _____ _____ of walking.
underlying timing
Walking has a ___% phasing relationship between the legs as well as a period of ____ ____, followed by a period of _____ ____.
- 50%
- double support (both feet on ground)
- single support
In walking, we _____ legs so that the left leg is _____ through its motion as the right leg begins.
- alternate
- halfway
Walking uses ____ ____ relationships (_____) that appear early in life.
- relative timing
- coordination
How can walking change?
- Individual’s body
- Environment
- Absolute timing (ie. slower or faster)
- Placement (ie. step height or length)
In early walking, each step tends to be _____ of the next, with ____ steps and little ____ and ___ ______.
- independent
- short
- leg and hip extension
Describe what toddlers look like taking their first steps.
- flat feet
- toes pointed outward
- spreads feet wide apart (improved lateral balance)
- no use of trunk rotation
- holds arms up in high guards
As toddlers continue to develop from their initial walk, what changes in their arms?
- arms drop to waist level (middle guard)
- later to an extended position at sides (low guard)
In toddlers, it is not common to have an ____ ____, and when they do begin to use it, it is usually…
- arm swing
- unequal, irregular
Infants have the ability to move their legs in an _____ pattern from birth onward, yet they cannot walk for at least ___ months after birth.
7
What individual constraints must develop to certain critical levels before the infant can support and move their own weight?
- legs must move alternately
- must have enough strength to support themselves on a single limb
- balance on one leg while transfering weight
- specific rate controlling factors
Thelen, Ulrich, Jensen found that:
- Infants must have muscle strength in the trunk and extensor muscles to allow them to maintain an upright posture on a small base of support
- Must also develop balance, or an erect posture or body position, to the point where they can compensate for the shift of weight from one leg to the other
Children with Down syndrome often experience delays in motor milestones which leads to delayed onset of _____.
walking
One study with walking for infants with Down syndrome showed that…
- treadmill training helped the group rise to a standing position and walk with assistance sooner than the control group could
- walk independently significantly sooner than the control group
Balance = ______ stance = _____ base of support
- widening
- increase
Stability = less ______
mobility
To take advantage of the principles of motion and stability, once balance increases, we need to…
decrease base of support for mobility
Developmental changes in walking that lead to a proficient level:
- absolute stride increases
- planting foot flat on the ground changes to a heel to toe
- reduced out-toeing
- double knee-lock
- pelvis rotation
- balance improves
- oppositional arm swing with movement of the legs
Proficient walking: Absolute stride length increasing leads to…
- Greater application of force
- Greater leg extension at push off
- Increased leg length = longer stride
Proficient walking: Planting foot flat on the ground changes to a heel to toe leads to…
increased ROM
Proficient walking: Reduced out-toeing leads to…
- Narrows base of support laterally
- Helps keep forces exerted in forward-backward plane
Proficient walking: Double knee-lock…
- Assists with full ROM of leg
- Knee extends at heel strike, flexes slightly as body weight moves forward over the supporting leg, and then extends once more at foot push-off
- Knee extends twice in one step cycle
Proficient walking: Pelvis rotation leads to…
- Allows full ROM of leg
- Oppositional movement of upper and lower body segments
Proficient walking: Improved balance leads to…
Forward trunk inclination is reduced
Proficient walking: Oppositional arm swing with movement of the legs leads to…
- Arms extended at sides
- Principle of action reaction:
(opposite arm and leg move forward and back in unison) - Arm swing must become relaxed and move from the shoulder, with slight accompanying movement at the elbow
Children usually achieve developmental changes in walking by age ___.
4
Adolph found that pelvic rotation starts at age ____.
13.8 months
Adolph found that knee flexion and midsupport starts at _____ months.
16.3 months
Adolph found that foot contact within a trunk-width base of support starts at _____ months.
17 months
Adolph found that synchronous arm swing starts at ____ months.
18.0 months
Adolph found that heel-forefoot strike starts at ____ months.
18.5 months
Length of time for which one foot supports body weight while the other swings forward increases, especially from _____ years of age.
1-2.5
_____ length increases through midadolescence, which results in…
- stride
- Fuller ROM at hips, knees, ankles
- Increase in leg length from growth
Velocity of walk increases especially between ____ years of age.
1-3.5
Rhythm and coordination of walk improves observably until age ____. Beyond this age..
- 5
- pattern improvements are subtle and probably not detectable by the novice observer
Changes that occur between early childhood and older adulthood represent ______ (rather than ______) differences.
- individual
- universal
Adults may change walking patterns over time due to:
- Weight gain or loss
- Changes in strength or balance
- Injury
- Gait training
Why can’t we predict developmental changes in walking in middle adulthood?
- Change is individualized
- Based on changing individual constraints
Old age developmental changes in walking tend to..
- change in a more predictable way
- certain individual constraints tend to change more
Murray studied:
- gait patterns in older men and women
- measured linear and rotary displacements and velocity of limbs during walking
Murray found that older men walked in a pattern similar to younger men but with these differences:
- Step length of older men was shorter
- Older men toed out more
- Older men had reduced degree of ankle extension
- Pelvic rotation was diminished in older men
Why do older adults walk more slowly than younger adults?
- Shorter stride
- Most other aspects remain similar to those of middle aged people
- balance
Walking changes with old age might relate to _____ and ____ in various body tissues.
- disease
- injury
- especially those that result in loss of muscle strength
Structural constraints in later walking:
- osteoarthritis
- decline in muscle mass
A disease state must progress to a ____ level before it will discourage all _____.
- critical
- walking
Often, older adults modify their gait to accommodate _____ or changes in _____.
- pain
- balance
Functional constraints in walking at older age:
- balance
- fear
If a older person falls while walking =
fear of falling = gait designed to assist with balance (wide base of support, short step length)
If a older person has pain while walking =
less inclined to walk long distances = decreases in walking = decrease in muscle mass, flexibility = changed walking patters = less walking