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CD3408 > Lec 6- Primitive to postural reflexes and stereotypes > Flashcards

Lec 6- Primitive to postural reflexes and stereotypes Flashcards

1
Q

What are anticipatory guildines

A

proactive developmentally based counselling technique that focuses on the needs of a child at each stage of life
-info for parents to help them understand a babys growth and development

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2
Q

What did the majority of parents report about anticipatory guidlines

A
  • they had not discussed most standard topics
  • they could have used more info on these topics
  • effort is required to provide pts with the info they need to take good care of their children
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3
Q

what is the rourke baby record

A

a system that many canadian doctors and other healthcare professionals use for well baby visas and for infants and children from week one to five weeks od age

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4
Q

what os a sensor motor integration disorder

A

sid is defined as a child that has problems in organizing sensations coming from the body and the environment that manifests as difficulties in the performance win one or more of the main areas of life

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5
Q

what do sensory motor integration disorders result in

eg will not meet developmental milestones

A

these diffivulities result in developmental delays

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6
Q

what are developmental delays

A

defined as variaations in the developmental process where a child is slow or fails to acquire the skills appropriate for their age

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7
Q

whaat are some causes of developmental delay

A
  • genetic factors (chromosomal changes)
    preg and birth factors
    infancy and childhood
    envurinmental changes
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8
Q

how are developmental; delays identified

A

a childs delay may appear on one or more domains of development

  • feeding
  • gross motor
  • fine motor
  • cognition
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9
Q

what are infant reflexes

A
  • involuntary stereotyped movement responses ti a particular stimuli
  • dominant movement firmed during the last 4 months of prenatal life and first 4 months after birth

occur sub cortically

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10
Q

when are fetal reflexes most dominant

A

dominant form of movement for last 4 months prebatally and first 4 months postnatally

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11
Q

what are the two types of reflexes used by children

A
  1. primitive reflexes- critical for human survival

2. postural reflexes- believed to be foundational for later voluntary movements

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12
Q

what are the infant reflexes and what do they develop into

A

crawling - crawling
labyrinthine- uptight posture
palmar grasp- grasp
stepping- walking

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13
Q

how do postural reflexes develop future movement

A
  • foundational movement patterns
  • -reflexes integrated, modifies and incorporated into more complex patterns to form voluntary movements

= automatic mvmt is practice for future voluntay movements

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14
Q

how can reflexes be used as a diagnostic tool

A
  • can determine level of neurological involvement
  • are age specific in normal healthy infants
  • with severe deviations from normal time frame may indicate neurological immaturity or dysfunction
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15
Q

what are the sig primitive reflexes at 3 months (4)

A

searching/rooting
sucking
palmar mandibular
asymertriv tonic neck

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16
Q

what reflexes will y get at 4-6 m (2)

A

4- palmar grasp

4-6- moro/starte

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17
Q

what reflexes will you get at 1 year and 2.5 years

A

1- plantar grasp

2.5- babinski

18
Q

what is the search rooting reflex (stim, response, duration)

A

stim- touchng the cheek

response- head moves toward stim

rental-3m

no reflex is prob for nutrion (may be presence of CNS issue)

19
Q

sucking reflex- stim, response, duration, concerns

A

stim- touch of the lips
response- sucking avtion
duration- utero to 3m

concerns- no reflex prob for nutrition

20
Q

what is the palmar mandibular reflex and what is the stimulus, response and duration

A

stim- pressure to both palms
response- else close, mouth opens and neck flexes
birth-3m

21
Q 
what is asymmetric tonic neck 
stim 
res[\ponse 
duration 
concerns
A

stim-prone/supone pos, head turned to one side
response- limes extended on same side that the head to facing and flexed on either side (bow n arrow type blood)

birth-3m
concerns- facilliates bilateral body awereness

22
Q

what is the palmar grasp reflex (stim, response, duration, concerns

A

palm stimed

response- 4 fingers close

duration- 5 m gestation to 4 months post

no palmar grasp may indicatie neuro issues (spasticity)

23
Q

what is the moro/startle reflex (stim, response, duration, concerns)

A

Stim- suddenly, but genteelly lower head, startle- hit surface near baby

response- arms/legs extend

duration- prenata- 4-6m post

concern- may signify CNS dysfunction, sensory/motor probs etc

(abnormal response seen in hypotonic infants- floppy infant sign)

24
Q

what is the palmar grasp reflex (stim, response, duration _

A

stim- Touching ball of foot
resonse- toes grasp
duration- birth-1year

25
Q

Babinski reflex in kids- stim, response, duration

A

Stim- stroke bottom or lat foot
response- great toe up, toes splay

duration- birth-4m (then slowly dimities)

26
Q

What is tummy time

A

baby is awake and on stomach for sj=hort periods of time

27
Q

beneits of tummy time

A

-msk development (cervical, lumbar, scapular stabilizeation, foundations of quadruped pos)

  • strengthen the neck and shoulder
  • motor skill/pattern development
  • gi tract stim
28
Q

based on research tummy time is associated pos with

A

gross motor development
total development
reduction in BMI score
prevention of brachycephaly (short/flattened head)
ability to move while prone, supine, crawling

29
Q

what does tummy time have no association with

A

fine motor development/communication

30
Q

what is the pull to sit postural reflex- stim,response, duration

A

Stim- sit/stand, hold hands tip in one direction
response- Arms flex or extend to maintain an upright pos.

duration- 3m-1year

31
Q

crawling postural reflex- stim, respnse, duration, concerns

A

stim- prone pos on surface, stroke alternate feet

Respone- legs/arms move in crawling action

duration- birth-3/4m

32
Q

What is head and body righting- stim, response, duration

A

stim- supine and turn head/body either direction

response- head/body rights self with head/body

duration- head (1-6m), body (5m- 1 year)

33
Q

Wat is the swimming type reflex

A

stim-infant held horizontal

response- arms and legs move in coordinated swimming action

duration- 2w- tm

34
Q

what is labyrinthine propping

A

Stim- baby held upright and tilted in one direction

response- baby tilts head in opposite direction

duration- 2-3–year

35
Q

What is parachuting-stim, response, duration, concerns

A

stim- off balance in an upright pos

response- protective mvmt in direction of fall

duration- 4m-1year

assessed in preterm babies as marker of neurological development

36
Q

what is the progression of verticilization

A

this is the progression from gross motor skills and milestones including-

  • head lift
  • rolling
  • arm extortion w back arch
  • 4 point stance
  • crawling
  • kneeling
  • arm pull to a creep
  • to cruising biped
37
Q

stepping reflex- stim, response

concerns

A

stim- infant upright w feet touching surface
response- legs lift and descend

duration- birth-5/6 m

38
Q

what are sterotypies

A

characterized by patterned, stereotype, highly intrinsic and involuntary movements of the body

–a repetitive mvmt posture or sound utterance

39
Q

when stereotypes are seen in older children/adult what does it usually mean

A

older children- may be problematic because they compete for time and energy that a child could use to learn new skills

adults- seen in some adult brain diseases (schmitz. dementia)

40
Q

What are primary motor stereotypes in non autistic inv

A

rhythmic,repative, fixed, predictable, movements that may occur in children who are otherwise developing normally

CD3408 (10 decks)

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