Human Development Flashcards

1
Q

Fetal Sensorimotor Development

A

First trimester- sensory systems begin to develop

Second trimester- sensory systems become further refined

Third trimester- sensory systems are matured and functional, motor reflex are integrated by this time (palmar, plantar, rooting, MORO etc..)

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2
Q

Reflex that integrate during typical development

A
  • rooting
  • suck/swallow
  • traction
  • palmar grasp
  • plantar grasp
  • moro
  • stnr
  • atnr
  • landau
    -symmetric
    -asymmetrical
  • tonic lab (prone/supine)
  • galant
  • neck righting/body righting
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3
Q

rooting reflex

A

stimulus- stroke mouth
response- movement of tongue, mouth or head during stimulus

purpose- help baby locate feeding source

28 weeks- 3 months

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3
Q

reflex starting at 28 weeks gestation

A
  • rooting
  • suck-swallow
  • traction
  • moro
  • plantar grasp
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4
Q

suck swallow reflex

A

stimulus- finger inside mouth w/ head in midline
response- strong, rhythm sucking

purpose- facilitates sucking for swallowing liquid

28 weeks- 2 to 5 months

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5
Q

traction reflex

A

stimulus- grasp forearms and pull to sit
response- flexion of UE

purpose- create grasp to help child hold onto mother when being pulled

28 weeks- 2 to 5 months

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6
Q

moro reflex

A

stimulus- rapidly drop head backward
response- arm extension/abduction then arm flexion and adduction

purpose- develop proctective response, develop extensor tone when flexor tone is dominant

28 weeks- 4-6 months

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7
Q

plantar grasp

A

stimulus- apply pressure to ball of foot
response- toe flexion

purpose- increase input to sole of foot

28 weeks gestation- 9 months

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8
Q

galant reflex

A

stimulus- hold in prone and tap along spine w/ finger
response- lateral trunk flexion on stimulated side

purpose- stabilizing trunk

32 weeks- 2 months

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9
Q

asymmetric tonic reflex

A

stimulus- rotate head and hold for 5 sec
response- extension on face side, flexion on skull side

purpose- visual attention to UE, decreases rolling

37 weeks- 4-6 weeks

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10
Q

palmar grasp

A

stimulus- put finger in palm
response- finger flexion

purpose- increase palmar tactile input

37 weeks- 4 to 6 months

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11
Q

tonic-labyrinthine (supine)

A

stimulus- place in supine
response- increase extensor tone

purpose- full body extensor tone, allows posture to adapt to head

37 weeks- 4 to 6 months

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12
Q

tonic-labyrinthine (prone)

A

stimulus- place in prone
response- increase flexor tone

purpose- full body flexor tone, allows posture to adapt to head

37 weeks- 4 to 6 months

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13
Q

landau reflex

A

stimulus- hold in horizontal prone suspension
response- complete extension of head, trunk and extremities

purpose- regulates tone, promotes extension for flexor tone

3-4 months- 12 to 24 months

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14
Q

symmetric tonic neck reflex

A

stimulus-place in crawling position and extend head
response- flexion of hips and knees

purpose- promotes quadruped position for crawling, breaks up full body extension

4-6 months- 8-12 months

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15
Q

neck righting (on body)

A

stimulus- place in supine and fully turn head to one side
response- log rolling on whole body to maintain alignment

purpose- promotes rolling

4-6 months- 5 years

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16
Q

body righting (on body)

A

stimulus- place in supine, flex one hip and knee towards chest and hold
response- segmental rolling of the UE to maintain alignment

purpose- promote trunk and spinal rotation to facilitate sitting and quadruped positions

4-6 months - 5 years

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17
Q

reflexes that persist throughout life

A
  • optical head righting
  • parachute reflexes
  • tilting reflexes
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18
Q

optical head righting

A

response- upright positioning of head

purpose- head management and postural stability

birth- 2 months

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19
Q

protective extension/parachute reflex

A
  • reflex is used to break falls

downward parachute
- extension of LE
- 4 months

forward parachute
- extension of UE
- 6-9 months

sideward parachute
- arm extension and abduction to the side
- 7 months

backward parachute
- backward arm extension
- 9-10 months

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20
Q

tilting reflex

A

facilitates postural adjustment to maintain COG

prone tilting
- 5 months

supine/sitting tilting
- 7-8 months

quadruped
- 9-12 months

standing
- 12-21 months

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21
Q

Principles of motor development

A
  • proximal to distal
  • stability to controlled mobility
  • ## gross motor to fine motor
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22
Q

play milestones

A

0-2y -exploration (body scheme dev)(imaginary play)
2-4y- symbolic (parallel play)
4-7y- creative (peer play)
7-12y- games

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23
Q

toileting milestones

A

1y- Indicates discomfort
1.5y- place them on toilet
2y- pee regularly
2.5y- accidents, need help getting on toilet
3y- don’t need to help them get on toilet, but needs help w clothing
4-5y: ind

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24
feeding milestones
3m-suckling patters (1m=liquid & 3m=pureed) 4m-jaw vertical, munching, bite and release 5m-pureed food off spoon 6m-tongue vertical 7m-jaw diagonal 9m-tongue lateral 12m-jaw firm & rotary chewing, fxn of spoon, dips spoon 15m-scoops food 24m-straw, fork, spoon master 5-7- take food from food 6-9- bangs spoon, suck on cracker, consumes soft foods 9-13- finger foods 12-14- dips spoon, brings spoon to mouth 15-18- scoops food with spoon
25
scissor milestones
2-3y- interest, snips, open/close w control 3-4y- forward motion, lateral direction, straight line, simple geometric shapes, circles (3.5-4.5y) 4-6y- simple figure shapes 6-7y- complex figure shapes
26
dressing milestones
1y-hands in sleeves, shoes off, cooperates 2y-pants down, removes unfastened coat 2.5y-large buttons, elastic pants 3y-shirt w/ min A, hooks/snaps/zippers, regular pants, dress w/ supervision but trouble with orientation 4y-ties shoes, understands orientation of clothing 4.5y-belt in loops 5y-knots, dresses independently 6y-bows, snaps back of clothing
27
gross motor milestones
3m-head control, supine🡪sideline 4m-hands together, props forward on arms 6m-begins to roll 7m-creeping on belly, bears wgt through legs, transition from sitting to kneeling 9m-walks with 2 hands held, cruises furniture, begins to crawl 10m-reciprocal crawl, w sitting, pulls to stand w/ furniture, voluntary release w/ wrist straight 12m-walk
28
pre-writing (grasp) milestones
Primitive grip (Palmar supinate grasps—fisted hand) (1 TO 1.5 YEARS) Transitional grip (Digital pronate grasp to static tripod grasp—pronated forearm to supinated forearm)(2 TO 4 YEARS) Mature grip (dynamic tripod grasp—opposition) (4.5 TO 6)
29
pre-writing (readiness) milestones
1yr=scribbles 2yr=imitates lines 3yr=copies lines and circle 4-5yrs=copies cross, oblique line, square, some letters/numbers, possibly write name 5-6 yrs = copy a triangle, write name, copy most letters from model
30
cube grasp milestones
3m-Swipes 4m-Primitive squeeze 5m-Ulnar Palmar grasp 🡪 Palmar grasp 6m-Radial Palmar grasp w/ wrist flexed 7m-Radial Palmar grasp w/ wrist straight 8m-Radial Digital grasp/3 Jaw Chuck grasp
31
pellet grasp milestones
6m-Rakes 7m-Inferior Scissor grasp 8m-Scissor grasp 9m-Inferior Pincer grasp 10m-Pincer grasp 12m-Fine Pincer grasp
32
release skills
0-1m- no release 1m-4m - involuntary release 5-6m- two-stage transfer 6-7m- one-stage transfer 7-9m- voluntary release
33
bilateral hand use
12-18m- uses both hands 18-24m- manipulation skills 2 1/2 years- 2 different hands for 2 different functions
33
manipulating skills
finger to palm (12-15m) (translation w/ stabilization): picking up coin palm to finger (2-21/2 years) (translation w/ stabilization): coin in slot shift (3-5 years(: linear mvmt to reposition objects (book pages, clay, on pencil) complex rotation (6-7 years): rotation of object 360*(writing, flip pencil to erase and back to write) simple rotation (2- 21/2 years): rotation of object 90* (unscrew bottle cap) tge translation w/ stabilization (6-7 years) : 5 pennies in palm, take one to tip of fingers while other are still in your palm
34
Erikson development
Stage 1- birth to 18 months, trust vs mistrust, Stage 2- 2- 4 years, autonomy vs doubt and shame, Stage 3- pre-school age, initiative vs guilt Stage 4- elementary school age, industry vs inferiority Stage 5- teenage years, self-identity vs role confusion Stage 6- young adulthood, intimacy/solidarity vs isolation, capacity to love Stage 7- middle adulthood, generativity vs self-absorption, capacity to care Stage 8- older adulthood, integrity vs despair, wisdom
35
Jean Piaget- development of cognition
sensorimotor period- birth to 2 years preoperational period- 2- 7 years concrete operations- 7 to 11 years formal operations- 11 to teen years
36
components of a developmental evaluation
- info about pregnancy and birth history - medical history - developmental history - parent interview
37
developmental assessments
Denver developmental screening test (1-6 months) Bayley Scales of Infant Development (1- 42 months) FirstSTEP screening test for preschoolers (2 years 9 months- 6 years 2 months) Hawaii Early Learning Profile (HELP)- preschoolers ages 3 -6 years old Miller Assessment for Preschoolers (2 years 9 months- 5 years 8 months) PEDI assessment (6 months- 7.5 years)
38
play assessments
Play History - assesses play behavior and play opportunities - children and adolescents Knox Preschool Play scale - observations of play skills to differentiate development play aspects - 0 to 6 years Test of Playfulness - assess child playfulness - 15 months to 10 years Transdisciplinary play-based assessment - measures child's development to determine the need for services - infancy to six years
38
motor assessments
BOT assessment- 4- 21 years Erhardt Development- children of all ages and cognition levels Peabody developmental- birth to 6 years TIME assessment- birth to 3 years
39
social participation assessments
Participation Scale (P Scale) - 15 years and older with physical disabilities School Function Assessment - elementary school-age children from grades K-6
40
effects of aging
- decrease in functional capacity - decrease in reaction time - decrease in muscle strength - slower movements - complaints of fatigue - loss of ROM - decrease in functional mobility - unsteady gait - loss of bone mass - postural changes - visual issues - sensory issues
41
strategies for age-related muscular system changes
- improve overall health (nutrition, medical problems) - increase levels of physical activities, - strength training - flexibility and ROM exercises
42
strategies for age-related skeletal system changes
- postural exercises - weight-bearing (gravity-loading) exercises - nutritional, hormonal, medical therapies
43
strategies for age-related neurological system changes
- correct medical problems (improve cerebral blood flow) - improve health - increase levels of physical activity - improve motor learning and control
44
age-related macular degeneration
- blank spot in central visual field - not treatment for dry AMD - wet AMD can progress quickly - affects macula (scotomas) - affects reading, driving, managing medication and watching television
45
diabetic retinopathy
- damage to the retina - affects central and peripheral vision - results in blurry/hazy vision
46
glaucoma
- loss of peripheral vision - tunnel vision - difficulty scanning - decreased visual acuity, contrast sensitivity, light sensitivity, glare sensitivity - orientation and mobility are affected
47
cataracts
- clouding of the lens - vision is hazy and blurry - central vision is affected
48
homonymous hemianopsia
- visual field deficit - occurs after a neurological injury like CVA
49
strategies for age-related auditory system changes
- assess for hearing - assess for use of hearing aids - minimize auditory distractions (quiet environment) - speak slowly, clearly and directly in front of person at eye level - use nonverbal communication (gesture, demonstration) - written and demonstrated instructions - orient person when they can't hear a conversation - assistive devices to compensate for vision loss (vibrating/flashing smoke alarms, telephones, doorbells, clocks)
50
strategies for age-related cognitive changes
- improve health - increase physical activity - increase mental activity - provide multiple sensory to compensate and maximize learning (visual demonstrations, written instructions, verbal cues) - stimulating, enriching environment - reduce stress
51
strategies for age-related cardiopulmonary changes
- complete cardiopulmonary assessment before exercise system - individualized exercise program (yoga, tai chi, pool programs) - aerobic training programs - improve overall daily activity levels
52
house management milestones
1y- imitate 2y- pick up own toys w/ reminders 3y- clean up spills independently, helps w/ chores 4y-make own snacks and dry cereal, sorts laundry 5y- answer phone, sandwich, garbage, dirty clothes in laundry 6y- cross street, simple errands, household chores 7-9y-cooks meals with help, money, calls friends, puts clean clothes away 10-12y cooks meals with supervision, pet care, simple repairs, sets table 13y-cooks meals independently & laundry
53
strategies for somatosensory system changes
- assess carefully - allow extra time for responses with increased thresholds - maximize physical contact (rubbing, stroking, tapping) - teach compensatory strategies - assistive devices and environment modifications - biofeedback devices (limb-load monitor)
54
eval for feeding
- parent interview - medical/developmental history - observation of feeding - if child is at high risk of aspiration, recommend videofluoroscopy
55
intervention for oral motor control
- positioning for neutral pelvic alignment and trunk stability in caregiver's lap or chair
56
appropriate positioning for feeding infant
- neutral pelvic alignment and trunk stability in caregiver's lap or chair (infant seat or wheelchair)
57
hand positioning of caregiver when feeding infant
- index finger under the child's lip - middle finger under jaw - place thumb on lateral end of mandible
58
facilitate swallow by lip closure
- downward pressure of spoon on the middle aspect of tongue
59
facilitate lip closure
- upward pressure of index finger under child's lip
60
facilitate jaw closure
firm upper pressure of middle finger under jaw
61
inhibiting tongue thrust
press spoon downward and hold onto tongue
62
facilitate chewing
long soft cooked vegetables between gum and teeth
63
preventative measures for abnormal feeding patterns
- firm downward pressure w/ spoon when there is tonic bite reflex - prevent tongue retraction to avoid choking - facilitate lip closure for tongue thrust - decrease tactile sensitivity prior to feeding by providing firm pressure - thicker foods are easier to swallow and manage (especially if there's tongue thrust)
64
rolling milestones
3-4m- supine to side 5-6m- prone to supine, supine to side w/ legs doing independent movements, supine to prone w/ legs doing independent movements 6-14m- segemental rolling w/ whole body
65
early object use milestones
3-6m- banging and shaking objects 6-9m- pulling, turning, poking, tearing objects 8-9- puts objects in containers 9-12- pushing train or rolling a ball
66
problem-solving milestones
6-9- finding toy covered by cloth, rolling to secure a toy, banging toy to hear noise 9-12- using a stick to bring toy closer to them 18-21- can operate an mechanical toy 21-24 - can use shape sorter 24-27- can discriminate between sizes 24-30- can build blocks horizontally and vertically