Lecture 10 - infant Motor Development & Implications in Practice Flashcards

1
Q

“working knowledge of motor development is the basis of the practice of ______ _______ _______.”

A

Pediatric physical therapy

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2
Q

normal motor development occurs in a relatively _______ manner, but no two infants are ______ _____

A

predictable, exactly alike

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3
Q

what 2 things are infants doing in the first year of their life?

A
  1. gaining control of their bodies
  2. mastering the environment
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4
Q

what is the hallmark of typical development in infants?

A

variability

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5
Q

what are the 3 reasons we have theoretical foundations for motor development?

A
  1. explanation of observed motor behaviours
  2. predict pattern of motor skill development
  3. guidance for treatment options and interventions
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6
Q

what are the 2 theories of motor development?

A
  1. neuromaturational theory
  2. dynamic systems theory
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7
Q

what is the underlying reasoning behind the neuromaturational theory?

A

motor development = CNS maturation. development shows universal patterns

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8
Q

what are 6 observable behaviours that support the neuromaturational theory?

A

1) development is hierarchical
2) motor control progress from reflexive to voluntary movement
3) cephalo-caudal
4) proximo-distal
5) sequence is consistent among infants
6) rate is consistent within infants

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9
Q

what is the definition supporting the dynamic systems theory?

A

development is a multidimensional, emergent process, intricately connected with contextual factors.

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10
Q

what are some concerns with the tenants of the neuromaturational theory

A

fails to explain variability, and we now know that rate is not consistent.

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11
Q

**what are the 4 main components of dynamic systems theory?

A
  1. motor behaviours are the result of multiple subsystems (temperament, motivation)
  2. subsystems can develop asynchronously
  3. systems display organizing properties
  4. movements are influenced by the task
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12
Q

what are the 3 main components that may influence motor development with some examples.

A
  1. child (size, preme, health conditions)
  2. Task (repitition, weight)
  3. environment (siblings/pet, nutrition)
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13
Q

what is an affordance?

A

what an environment offers, provides or furnishes for an infant, and the inherent complementarity of this interaction. (how does the infant perceive what is in their environment)

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14
Q

what example of affordance did we demonstrate in class?

A

grabbing hold of objects that were different shapes and weights. need to be able to perceive these objects correctly.

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15
Q

what is the goal of motor development?

A

environment mastery and control

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16
Q

how do infants achieve their goal of motor development? (3)

A
  • upright posture
    -mobility
    -manipulation
17
Q

T or F, motor development is linked to cognitive development

A

true

18
Q

what are the 3 components of movement we see in infants?

A
  1. elongation (due to physiological flexion)
  2. activation (activate muscles against gravity)
  3. weight shifting (asymmetry)
19
Q

what does control in the sagittal plane look like?

A

-symmetrical (asymmetry is not typical - should be performing movements in both directions)
- flection/extension
-anterior/posterior

20
Q

what does control in the frontal plane look like?

A
  • lateral righting
  • side flexion (crawl with bumb wiggle)
21
Q

what does control in the transverse plane look like?

A

-rotation
-equilibrium reactions

22
Q

what is meant by ‘variability in movement’

A

not all children follow similar patterns of acquisition. some children may adopt different strategies for moving around in their environment

23
Q

what is the alberta infant motor scale (AIMS) and at what age can we use it?

A

it is an observational assessment that evaluates motor developmental sequences
from birth to 18 months

24
Q

what are the 4 positions AIMS looks at?

A

prone, supine, sitting and standing positions.

25
Q

what are the 3 criteria evaluated in AIMS

A
  1. weight-bearing
  2. posture
  3. anti-gravity movement
26
Q

what are the goals of physio therapists in infants?

A

observing and identifying deviations or abnormalities using ‘normal’ motor development as a reference point

27
Q

what are things paediatric PTs can do? (5)

A
  • positioning
    -exercises
    -facilitation
    -environmental considerations
    -family education
28
Q

what is the neuromaturational model good for in today’s practice?

A

not used primarily but take concepts such as reflex assessments to help inform practice in the dynamics systems theory

29
Q

what does practice look like using the dynamics systems theory?

A

assess constraints that are limiting behavior by looking at influencing factors (child,tasks,environment)
address multiple factors, exploration and selection, modify task