Human Development Flashcards
In regards to neonate physiological flexion what position is the:
Head
Spine
Scapula
UE
Pelvis
LE
Head: rotated w/ WB on cheek/nose
Spine: C curve
Scapula: Elevated & adducted
UE:
Shoulder extended, adducted, IR
Elbow flexion
Forearm pronation
Wrist/finger flexed
Pelvis: Posterior tilt
LE: hip flexed, abducted, ER
Knee flexion
Ankle DF/Inversion
Describe the Neonate in supine:
Head?
UE?
LE?
- Observe physiological flexion & umbilical cord
- Can’t keep head in midline
- UE: shoulder driven movement in burst
- LE: hip driven asymmetrical movement
How does a neonate in prone change head position?
Phasic bursts of asymmetrical extension to change position
Describe the elbow position and head of a neonate in prone
- Elbows off the surface
- Stable head due to elevated shoulder
A neonate may have phasic bursts at shoulder & hips what brings the limbs back to a flexed position?
Tone
Which age will have more head lag neonate or 1-2 month?
1-2 month because the neonate has so much physiological flexion
In supported standing what does the neonate do?
Primary/Neonatal Stepping
- When bounced/leaned forward can take reciprocal steps
When will a baby appear most hypotonic?
1-2 months because of decreased flexor tone
When does a baby begin visual tracking for the 1st time?
1-2 months
Describe the UE & LE of a 1-2 month in supine?
UE: gravity pulls into more extended position
LE: Decreased hip flexion tone (increased abduction & ER)
By 2 months what do the UE appear as in prone/
UE: slide away from body & elbow down on surface in preparation for WB & shifting
- Forearm remain behind shoulders
In order of appearance of head lag order the ages from most amt to least amount (neonate, 1 month & 2 month)
2 month
1 month
Neonate
How does a 1 month look in supported standing?
Lift head momentary
LE WB
Stepping present but diminshed
How does a 2 month look in supported standing?
- Less control
- Absent LE WB/Stepping b/c of Astasia Abasia
At what age does a baby begin to show symmetry?
3 months