Fine Motor Development Flashcards

1
Q

Components of hand function

A

Fine motor skills
Visual skills
Visual perception skills

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2
Q

Fine motor skills

A

Patterns that require tactile proprioceptive and visual information

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3
Q

Fine motor skills require what patterns:

A
Reach
Grasp
Carry
Release
In hand manipulation
Bilateral hand use
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4
Q

Reach

A

Movement and stabilization of the arm and hand for the purpose of contacting an object with the hand

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5
Q

Grasp

A

Attainment of an object with the hand

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6
Q

Carry

A

Movement of the arm in space for the purpose of transporting a hand held object from 1 place to another

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7
Q

Release

A

The intentional letting go of a hand held object at a specific time or place

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8
Q

In hand manipulation

A

The adjustment of an object in the hand after grasp

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9
Q

Bilateral hand use

A

The use of 2 hands working together to accomplish a task

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10
Q

Visual skills

A

Ability to fixate on a stationary object

Ability to track a moving object

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11
Q

Visual perception skills

A

Ability to recognize, discriminate, and process sensory info

Identification of shapes, orientation of objects in space, dimension

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12
Q

Issues that influence hand function development

A
Coordination of fine motor skills and visual skills
Eye hand coordination
Cognitive development
Social development and culture
Sensory integration
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13
Q

Eye hand coordination

A

Visual perceptual factors

Visual deficits

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14
Q

Cognitive development

A

Attention factors

Cognitive deficit factors

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15
Q

Social development and culture

A

SES factors

Gender factors

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16
Q

Sensory integration

A

Lights in the room, temperature, hearing typing, feet on the floor and such
We have been sensorally desenitized

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17
Q

Physical and motor issues in hand development

A

Integrity of the hand - congenital or traumatic abnormalities
ROM
Tone and movement patterns

18
Q

Development of the hand

A

Proximal to distal developmental progression
Palmar skills before finger control
Gross function before Fine
Ulnar before radial
Stability before mobility
Gross assym to generalized symm to voluntary to controlled asymm

19
Q

Development of hand function - Reach

A

Observed in non true form via reflexes
Begins to develop as visual regard develops
Mature reach occurs in conjunction with trunk and scapular control

20
Q

Development of hand function - Grasp

A

Initially dominated by hand reflexes
Traction response
Grasp Reflex
Avoiding reaction

21
Q

Traction response

A

flexion pattern with passive humeral abduction

0-5 months

22
Q

Grasp Reflex

A

Flexion of thumb and fingers with palmar stimuli

4 weeks - 5 months

23
Q

Avoiding reaction

A

Pronation or supination of hand away from stimuli on back of hand or on fingertips
0-7 years

24
Q

Power grasps

A
Prehension 
Power = fist
Hook = pick up suitcase with handle
Cylindrical = hold glass
Spherical = hold ball
25
Q

Precision grasps

A

Precision
Lateral pinch
Tip pinch
Palmar pinch (two and three point)

26
Q

Development of grasp

A

Initial hand movements are dominated by reflex
5 months = palmar grasp develops
8-9 months = emergence of 3 point grasps

27
Q

In hand manipulation - transition

A

Movement of object from palm to fingers and fingers to palm
Most basic
Relies on finger flexion and extension and thumb movements

28
Q

In hand manipulation - shift

A

Movement of object btw or among fingers - turning pages in a book

29
Q

In hand manipulation - rotation

A

Multi axis movement like picking up a pen and placing it in position to write with

30
Q

In hand manipulation - necessary skills

A
Thumb stability 
Isolated finger movement
Pliability of the palm (presence of arches)
Wrist stability 
Forearm supination
31
Q

Carry

A

Requires combination and coordination of body movements and ability of the hand to stabilize an object

32
Q

Voluntary release

A

Requires coordination of mvmnt through entire UE
Initially reflexive
Further developed when infant brings objects to midline which facilitates transfer to other hand
Strong presence by age 1 and will continue to develop

33
Q

Bilateral hand use - initial development pattern

A

Asymmetrical hand use = 0-3 months
Symmetrical patterns = 3-10 months
Differentiated hand movements = 10-18 months

34
Q

Bilateral hand use - advanced development pattern

A

18-24 months = begins to develop simultaneous manipulation skills
2-3 yrs = motor planning to refine simultaneous manipulation

35
Q

Hand dominance

A

Not stabilized until age of 7

Cross dominance may be an indication of lack of maturation and differentiation of the cerebral hemispheres

36
Q

Necessary development abilities

A
Control of neck and eye movements
Postural/trunk stability and balance
Shoulder complex stability and mobility 
Elbow mobility 
Gross grasp
Forearm sup/pron
Individual finger manipulation
37
Q

4-7 years

A

Demonstrates hand dominance (by age 7)

38
Q

12-14 years

A

Full finger manipulation skills

39
Q

Assessment of fine motor skills

A
Vision
ROM, Strength
Balance and stability 
Sensory integration
Specific tests - standardized ones
40
Q

Beery

A

2 to 18 years for visual motor integration

41
Q

Peabody

A

0 to 5 years for fine and gross motor skills

42
Q

Bruininks

A

4 to 21 years for fine and gross motor skills