Examination Flashcards
Assessment of premature infant behavior (APIB)
Assesses the organization and balance of infants phsiological, motor, and bx stress
Newborn individualized developmental care and assessment of progress (NIDCAP)
systematic behavioral observation of preterm or full term infant in nursery or home during environmental input, caretaking, and treatments
Note what stresses and consoles the infant
Test of infant motor performance (TIMP)
developed for infants from 32 weeks postconceptual age to 3.5 months postterm
Evaluates spontaneous and elicited movements to analyze postural alignment and selective control for functional movements
Apgar screening test
administered to newborn at 1, 5, 10 minutes after birth
HR, RR, reflex irritability, muscle tone, color - all scored 0, 1, or 2
Apgar screening test - what is good score
score of 7 and above
Babinski reflex
stroke lateral aspect of plantar foot - get extension and fanning of toes
0-12 months
Flexor withdrawal
sharp, quick pressure stimulus to sole of foot or palm of hand causes withdrawal of stimulated extremity
0 -2 months
Crossed extension
sharp, quick pressure stimulation to sole of foot results in withdrawal of stimulated LE and extension of opposite leg
0-2 months
Galant of trunk incurvation reaction
sharp stroke along paravertebral line from scapula to top of iliac crest results in lateral flex toward stimulated side
0-2 months
Moro reflex
sudden extension of neck results in flex, abd of shoulders, ext of elbows - followed by add of shoulder and elbow flex
0-4 months
Primary standing reaction
infant held in supported standing position they will support some weight and extends LE
Primary walking
hold infant in supported standing, tilt trunk forward slightly, reciprocal stepping motions of LE
0-2 months
Neonatal neck righting (NOB)
turn head with infant in supine
body log rolls toward same side
0-6 months
Rooting
Stroking of perioral region results in head turning to that side with mouth opening
0-3 months
Sucking
touch to lips, tongue, palate results in automatic sucking
0-6 m
Startle
loud noise, sudden light or cold stimulus causes a sudden jerking or whole body or ext and abd or UE followed by add of shoulders
0-6 m
Tonic labyrinthine reflex (classic)
prone position results in max flexor tone
supine results in max ext tone
0-6 m
Asymmetrical tonic neck reflex
rotation of the head results in ext of face side extremities and flexion of skull side extremities
0-5 m
Palmar grasp
pressure stimulus against palm results in grasping of object wit slow release
0-4 m
Plantar grasp
pressure stimulus to sole of foot or lowering of feet to floor results in curling of toes
0-9 m
Placing reactions
drag dorsum of foot or back of hand against edge of table, get placing of foot or hand onto table top
0-6 m
Traction of pull to sit
pull infant to sitting from supine - UE flex and head lags until about 4-5 m
Optical and labyrinthine righting
head orients to a vertical position when body is tilted
starts 1 month and continues through life
Protective extension
quick displacement of trunk in downward direction while held or while sitting in forward, sideways or backward direction results in extension of legs downward and ext of arms in seated to catch weight Downward - begins at 4m Sideways - 6m Forward - 7m Backward - 9m
Body righting reaction acting on head (BOH)
Contact of body with solid surface results in head righting with respect to gravity, interacts with labyrinthine righting reaction on head to maintain orienation of head in space
starts 4-6m and continues through life
Body righting reaction on body (BOB)
rotation of head or thorax results in rolling over with rotation between trunk and pelvis
starts 6-8m and persists
Symmetrical tonic neck reflex
extension of cervical joints produces ext of UE and flex of LE
Cervical flexion produces flexion of UE, and ext of LE
6-8m
Landaus reaction
infant held in ventral suspension will extend neck, trunk, and hips
4-18m
Tilting reactions
slow shifting BOS or slow displacement of body in space will result in lateral flexion or spine toward elevated side of support, abd of extrem on elevated side Prone - starts at 5m supine - 7m sitting - 8m quadruped - 12m
Screening tests
Denver developmental screening test II
Alberta infant motor scale
Screening tests - Denver
screen for developmental delay
tests social, fine, gross motor and language skills
from birth - 6y
Screening tests - Alberta
observational scale for assessing gross motor milestones in infants from birth through independent walking
Standardized motor tests
Movement assessment of infants
Peabody
GMFM
BOT 2
Standardized motor tests - movement assessment of infants
identifies motor dysfunction and changes in the status of motor dysfunction and establishes an intervention program for infants from birth to 1yr
Standardized motor tests - Peabody
Assess gross and fine motor development from birth to 42 m
Includes sponatenous, elicited reflexes and automatic reactions
Standardized motor tests - GMFM
Developed to measure change in gross motor function over time in children with CP
Valid for use with those who have DS
all items can be completed by 5 yr old
focuses on voluntary movement in 5 developmental positions
Standardized motor tests - BOT 2
Developed to measure gross and fine motor skill in chilren 4.5 to 21 yrs of age
Sensory integration and praxis test
Sensorimotor assessment for children between ages 4 and 9 with moderate learning impairment
Tests of balance, prop, and tactile sensation
Comprehensive developmental assessments
Bayley
birth to 42 m
Pediatric functional assessments
PEDI
WeeFIM
School function assessment
