Development of functional movement Flashcards

1
Q

Why is it important to understand motor development?

A
  • directly tied to cognition, language, and social skill development
    -Assessment of motor skills provides info towards identifying out of norm behaviors (developmental delays, neurodevelopmental disorders) and intervention planning + monitoring
    -understanding motor development improves task analysis and treatment across the lifespan
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2
Q

Role of cultural background in development

A

-Norms are based on averages of infants born in European culture which can lead to inaccuracies
-Cultural background must be considered

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3
Q

Impact of cross cultural research

A

Challenged assumptions that motor development follows fixed, predictable sequence

Gross motor development variations have been found based on cultural influences

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4
Q

T/f practicing skills (or not) accelerates/decelerates rate of development

A

True

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5
Q

Developmental ages

A

Infant
Early childhood
Middle childhood
Adolescent

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6
Q

Infant age

A

prenatal - 1 year

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7
Q

Early childhood age

A

1-4

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8
Q

Middle childhood

A

5-10

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9
Q

Adolescent

A

11-21

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10
Q

What comes first (apparently): total response or localized response

A

Total

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11
Q

What comes first (apparently): distal or proximal control

A

Proximal

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12
Q

What comes first (apparently): caudal or cephalic control

A

Cephalic

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13
Q

What comes first (apparently): medial or lateral control

A

Medial

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14
Q

What comes first (apparently): gross motor or fine motor

A

Gross motor

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15
Q

What comes first (apparently): flexor muscle tone or extensor muscle tone

A

Flexor

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16
Q

What comes first (apparently): flexor antigravity or extensor antigravity

A

Extensor antigravity

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17
Q

What comes first (apparently): Weight bearing on flexed extremities or extended extremities

A

Flexed extremities

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18
Q

4 phases of motor development

A

0-3 months
4-6 months
7-9 months
10-12 months

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19
Q

Major goal of 0-3 month stage

A

Head control in all planes

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20
Q

Major goal of 4-6 month stage

A

Control of arms + trunk

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21
Q

Major goal of 7-9 month stage

A

Control of lower trunk + pelvis

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22
Q

Major goal of 10-12 month stage

A

Mobility, control of legs, overall postural control

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23
Q

Characteristic of newborn

A

Physiologic flexion (flexion resulting from being in utero that provides a degree of stability + control)

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24
Q

Newborn movement

A

Random movements + reflexes

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25
Q

Role of newborn reflexes

A

Support movement w/o control of voluntary movement
Protective

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26
Q

Prone movements in newborn

A

Ability to lift the head and rotate side to side

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27
Q

Hand position of newborn

A

Hands fisted
Reflexive grasp

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28
Q

Visual and oral development in newborn

A

Visual regard of environment
Random disorganized eye movements

Oral: sucking

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29
Q

Characteristic of one month

A

Transition
More active extension: stretch, kick, and turning of head)

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30
Q

What limits active extension in the one month old?

A

Limited flexor control and remaining physiologic flexion

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31
Q

Head movements in one month old

A

Head lag in pull to sit
Hold head upright momentarily in supported sit

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32
Q

Prone movement in one month old

A

Turn and lift head more easily

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33
Q

Hand positioning in one month old

A

Grasp reflex

34
Q

Visual + oral development in one month old

A

Visual: tracks from periphery to midline
Oral motor: hand to face

35
Q

Why does the one month old have more extension?

A

Gravity + stretching

36
Q

Why may lifting the head be difficult in a one month old?

A

Remaining flexion at the hips
Elbows behind the shoulders

37
Q

Characteristic of two month old

A

Disorganized; motor disaster

Physiologic flexion diminishes; hypotonic

38
Q

Why does the two month old appear to be hypotonic?

A

Lack of control; imbalance between flexors and extensors

39
Q

Supine movements of two month old

A

more extended and asymmetrical (ATNR)
Reciprocal kicking

40
Q

Prone movements of two month old

A

Lifts head 45 deg

41
Q

Astasia-Abasia

A

Characteristic of 2 month old
LE appear disorganized, diminished standing and stepping (baby is bigger; doesn’t have the strength anymore)

42
Q

UE development of 2 month old

A

Random movement in wider ranges
Asymmetrical swiping
Briefly retains objects with involuntary release

43
Q

Vision + oral motor in two month old

A

Vision: visually fixates on hand in ATNR. Tracks vertically

Oral motor: voiced nasal sounds on exhalation (cooing)

44
Q

Why is there more extension of the head in two month olds?

A

Hips are flatter (less flexion)
Elbows in line with shoulders

45
Q

Characteristic of tree month old

A

Beginning of symmetry; better balance between flexors + extensors

46
Q

Common positions in three month old

A

Chin tuck + hold head midline
Hand to hand grasp on chest
Prop on forearms
UE assist to hold head up in supported sitting
Able to hold head up in supported sitting

47
Q

What does midline indicate

A

Stability

48
Q

UE development in three month old

A

Hands to mouth
May swipe at toys
Sustained voluntary grasp with involuntary release

49
Q

Vision + oral motor in three month old

A

Vision: visually attends to objects, eyes and head move together
Oral: uses mouth to explore toys/objects

50
Q

Why is prone on elbows so beneficial?

A

Flexor + extensor activity
Strengthens scapular muscles for further development

51
Q

Characteristic of four month old

A

Symmetry

52
Q

Supine movement in four month old

A

Hands to knees
Bridging

53
Q

Prone movement in 4 month old

A

Prop on forearms with extension of trunk
-Attempt to reach for toys: lateral weight shift with collapse and accidental roll to supine
-Landau begins

54
Q

Landau

A

Extension of head and neck lifting arms and legs off surface

55
Q

Sitting and standing in 4 month old

A

Sit upright supported at low trunk
Graded bouncing in supported standing

56
Q

UE development in 4 month old

A

Hold arm in space to make contact with toy; hand open to reach for toy

57
Q

Vision + oral motor of 4 month old

A

Vision: visually directed reach + grasp
Eyes begin to move independent of head
Oral motor: babbling

58
Q

Movement in what plane is necessary for weight shift?

A

frontal

59
Q

Key characteristics of 0-3 month motor development

A
  1. physiological flexion –> active extension
  2. Clear airway in prone –> prop on elbows
  3. Head bobbing –> head control
  4. Discoordinated eye movements –> tracking horizontally + vertically
  5. Reflexive grasp –> voluntary grasp
  6. Crying –> cooing
60
Q

Key characteristic of 7-9 month old

A

Becomes mobile + begins to explore environment

Less predictable

61
Q

Should a baby be spending a lot of time in supine at 7-9 months

A

No; supine becomes boring (skills have already been developed; nothing else to do)

May be cause for concern if baby is spending a lot of time in supine

62
Q

Prone skills 7-9 months

A

Pivot
Assumes quadruped
Creeps on hands + knees

63
Q

Sitting skills 7-9 months

A

Transitions in + out of sitting
pulls to stand
Pull to stand through 1/2 kneel by 9 months

64
Q

Standing skills 7-9 months

A

Cruise along furniture
Walks with two hands held

65
Q

UE skills 7-9 months

A

bilateral play
radial digital grasp
point + pinch

66
Q

Feeding skills 7-9 months

A

Independent bottle feed
Finger feed

67
Q

Oral motor skills 7-9 months

A

Long chain babbling
b/m/d/n

68
Q

Crawling vs creeping

A

Crawling: stomach
Creeping: hands + knees

69
Q

Quadruped positioning requires control in which plane?

A

Frontal

70
Q

Reciprocal creeping at faster speeds require control in what plane?

A

Transverse

71
Q

Furniture cruising is movement in what plane?

A

Frontal

72
Q

What is plantigrade position and what age range does it normally occur

A

Bear crawling/downward dog
10-12 months

73
Q

Sitting during 10-12 months

A

VARIOUS sitting positions

74
Q

Standing during 10-12 months

A

position of choice
able to move from stand to sit
stand to + from squat

75
Q

Walking during 10-12 months

A

Climbs on furniture (precursor for walking)
Stepping with 2 hands held
Walk w one hand held

76
Q

UE during 10-12 months

A

Inferior pincer grasp
Removes socks
Imitates adult use of tools (i.e comb)

77
Q

Feeding + speech during 10-12 months

A

Cup drinking
Self spoon fed
First real words

78
Q

Avg age for independent steps

A

1 year

After 18 months: can become concern

79
Q

Characteristics of first independent steps

A

High guard arms
Wide BOS
Low Center of gravity
No heel strike
Trouble stopping
Quick cadence

80
Q

High guard arms

A

Field goal arms
Universal sign of instability

81
Q

Why is there minimal heel strike in independent gait?

A

It requires too much distal dissociation