Infant 7 to 9 Months Flashcards

1
Q

equilibrium supine 7mo

A

equilibrium is present

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2
Q

equilibrium sitting 7mo and 8mo

A

equilibrium is beginning to develop at 7 and is present at 8 months (with sideways protective extension)

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3
Q

equilibrium quadruped 8 and 9 mo

A

Transitions from sitting to quadruped are faster and easier at 8 months
By 9 months, quadruped is a very secure position speed and control are very refined and they can change direction easily

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4
Q

Describe the use of positional stability in early sitting

A

7 months—still using LE in positional stability
8 months—no longer dependent on LE stability, pelvic-femoral and trunk muscles sufficient to stabilize posture
9 months—can change between sitting positions

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5
Q

Describe the use of positional stability in early standing

A

7 months—requires UE support – power to stand comes from UE
8 months—using legs more than arms
Legs are widely abducted for positional stability
9 months—takes full weight in standing but tends to use one hand on furniture to stabilize

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6
Q

Discuss the sequence of early transitions into and out of sitting

A

At 7 months, they go from sitting to quadruped by vaulting over LE
8 months—uses same transitions as 7 months, just faster, more controlled, and refined
9 months—transitioning from all sitting postures to quadruped
Easily transitions from quadruped to sitting
Begins to work on lowering to sitting from standing instead of “falling”

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7
Q

Discuss the progression of rocking in quadruped

A

As abdominals and hip extensors become more active, the range of forward rocking will increase, and the baby will begin working on lateral and diagonal movements

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8
Q

Discuss the relationship between rocking and quadruped in arch formation in the hand

A

Rocking on quadruped helps with development of palmar arches
Forward and backward rocking helps with longitudinal arches
Longitudinal—runs from wrist to fingers
Lateral and diagonal rocking help with the transverse and oblique arches
Transverse—concavity of the wrist
Oblique—formed when thumb opposes fingers

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9
Q

Describe a plantigrade (bear stance) posture and importance to later motor skill development of walking

A

Plantigrade—walking on hands and feet
Helps to elongate the hamstrings
Precursor to standing

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10
Q

Discuss early creeping in the 7-month old and distinguish between homolateral and diagonal reciprocal patterns of creeping

A

Requires the ability to life the trunk from the floor while weight bearing and weight shifting on extended arms with flexed hips
May start as homolateral (same arm and leg at same time); Then progress to diagonal reciprocal pattern
Simultaneous movement of contralateral upper and lower extremities requires diagonal synergistic control of the trunk muscles and counter rotation of the spine

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11
Q

ring sitting

A

(8 and 9 months) – most stable sitting, used when engaged in fine motor tasks

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12
Q

long sitting

A

(8 and 9 months)– adduction and full extension of the knees (elongated hamstrings).

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13
Q

side sitting

A

(8 and 9 months)– one leg is ER and one leg IR, this creates a weight shift and is a hard position to maintain; good for trunk control
This position allows for an easy transition into quadruped

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14
Q

W sitting

A

(9 months)– sitting with both legs out in internal rotation. It provides a very wide BOS, but should not be encouraged because it can lead to knocked knees on standing and walking & poorly developed hip and trunk control.

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15
Q

Describe cruising and the progression from side to side, semi-turned, to forward rotated cruising

A

Cruising begins in a side-to-side pattern (in the coronal/frontal plane) with maximum support needed.
Increased control of hip abductors and adductors enables smoother lateral weight shifts and closer alignment of the legs.- developing eccentric control needed for lateral weight shift in standing
Increased trunk control allows for rotation noted in progression to semi-turned and finally turned cruising.
Side to side is most common at 9 months.

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16
Q

steppage gait

A

term for forward walking
LEs are alternately flexed and extended while maintained in abduction and ER
the legs do not advance the body forward (marching in place; not moving forward)

17
Q

pull to stand 7mo

A

using upper body to pull themselves up, legs follow underneath

18
Q

8mo supine and prone

A

supine - roll right out of it to go into quadruped; red flag if they like it still
prone - very versatile but won’t stay for long, move to quadruped (creep) or sitting

19
Q

8mo sitting

A

sitting is the preferred position! lots of variation (ring, long, combo)

20
Q

8mo UE

A

reach in a variety of directions
starting to RELEASE things they grasp
visual/tactile info to refine hand control

21
Q

8mo transitions

A

sit to quadruped
quadruped to sit
*weight shift and vault

22
Q

8mo creeping

A

primary means of locomotion
requires rotation/counter rotation in trunk
(diagonal reciprocal pattern)
very efficient/refined/fast

23
Q

8mo kneeling & half kneeling

A

early pattern requires use of UEs for stability
hip flexors will be released and child will practice hope extensor activity
half kneeling requires more postural control (requires lateral weight shift)

24
Q

8mo pull to stand

A

UE still does majority of work, but LEs are more active than 7mo

25
Q

8mo climbing

A

develops problem solving abilities, requires weight shifts, internal stability, strong UE and loading responses
learn directional concepts (their body in relation to objects)

26
Q

8mo standing

A

relies on legs more to maintain standing
legs will be widely abducted to provide positional stability
can’t lower themselves down

27
Q

8mo sideways cruising

A

try to cruise around furniture (hold onto furniture and pull themselves along with UE)

28
Q

9mo sitting

A

can W sit
ant and post pelvic tilts
transitions into keeling and quadruped quickly

29
Q

9mo kneeling and climbing

A

playing in half kneel

still can’t climb down

30
Q

9mo standing

A

standing and walking are primary drives, continues to use arms but use LE from half kneeling
transitions are faster, starting to balance and hold but still using furniture
NO equilibrium yet

31
Q

9mo cruising

A

side to side is most common (facing what they are holding onto)
more advanced: semi turned cruising, then forward cruising (one hand on furniture and they move forward and walk)

32
Q

9mo supported walking

A

continues to fix upper trunk with strong scapular adduction

less of a steppage gait and stride is more obvious