Lecture 2: 12 mo-12 years Flashcards
What are key therapeutic intervention points for 0-12 months?
- shift before you lift
- WB facilitates activation
- elongation of WB side
- prep activities for walking in variety of positions
Development of walking: 12-15 months
Independent walking
Wide BOS, initial high guard
2 years: development of walking
Reciprocal arm swing
Heel strike
DF during swing
Single limb stance time increases
When is mature gait pattern?
7 years
Initial running starts
Age 2
Elementary running starts at
Age 3
True, consistent flight phase, more strength and balance
Thumb and PIP pincer grasp is:
Inferior pincer grasp
Thumb and DIP pincer grasp is:
Superior pincer grasp
Standardized testing is used for:
Determining level of development
Document functional status
Help make prognosis, predict outcome
Justify PT intervention: does child qualify? —> education based, needs to score a certain percentile
Help parent/family understanding
Evaluate program/response to treatment
What are the categories of standardized tests?
- Norm-referenced vs criterion-referenced
- Evaluation vs. assessment vs. screen
What is norm-referenced standardized testing?
Compare between specific child and TYPICALLY DEVELOPING CHILD, SAME AGE
*good for determining motor delay or eligibility for early intervention
What is criterion-referenced testing?
Compare child to specific criteria
-can they jump 2 feet?
good for evaluation of effects of PT intervention/treatment planning
Peabody Developmental Motor Scales (PDMS-2)
Norm-referenced test
AIMS is a ___ test
Norm-referenced
GMFM (gross motor function measure) is a __ test
Criterion referenced test
Miller Assessment of Preschoolers is a ___ test
Norm-referenced test
PEDI/Pediatric Evaluation and Disability Index is a ___ test
Norm-referenced test
TIME (Toddler and Infant Motor Evaluation) is a __ test
Norm referenced test
BOT2 (Bruininks-Oseretsky Test 2) is a __ test
Norm-referenced test
BSID/Bayley Scales of Infant Development is a __ test
Norm-referenced test
M-ABC: Movement Assessment Battery for Children is a __ test
Norm-referenced test
HELP: Hawaii Early Learning Profile is a __ test
Criterion-referenced test
Melbourne Assessment is a __ test
Criterion-referenced test
Sensory Profile is a __test
Criterion-referenced test
Test of Sensory Function in Infants is a __ test
Criterion-referenced test
GMFM: gross motor function measure is a __ test that is used as a standardized ___
Criterion-referenced test, standardized evaluation
HELP is a ___test, standardized ___ for ages ____
HELP is a criterion referenced test, standardized assessment for ages 0-3, 3-6 years
Provides estimated age of development (ASSESSMENT)
What are the six domains of HELP?
- Gross motor
- Fine motor
- Cognitive
- Language
- Social-emotional
- Self-help
Alberta Infant Motor Scales AIMs is a …
gross motor scale
0-18 months
(scored on observation of spontaneous motor activity of infants)
What does a young toddler 12-18 months look like?
mobility:
manipulation:
cognitive;
language:
social emotional:
mobility: walk freely, creep up stairs, stoop to pick up objects
manipulation: precise release of object into small container, PALMAR SUPINATE GRASP, points w/ index finger
cognitive; understands simple commands
language: talks, 15 meaningful words
social emotional: separation distress, imitates other children
older toddler: 18-35 months
mobility:
manipulation:
cognitive;
language:
social emotional:
mobility: begin to run
climb stairs
manipulation: string beads, build towers
cognitive; object permanence! pretend play w/ doll
language: multiwords
social emotional: separation distress, NO (protest)
typical two year old can:
run
climb up/down stairs
jump off bottom step
jump in place
kick ball
steer push toy
ride tricycle
typical 2.5 year old can:
walk on tiptoes
jump w/ both feet
jump forward
stand on one foot
walk upstairs STEP TO
throw and catch w/ body
copy a circle
hold crayon
use scissors
string beads, build towers
preschool: 3 year old can;
mobility:
manipulation:
cognitive;
language:
social emotional:
mobility: TRUE RUN, alternating step stairs
alternating tricycle
jump over 2 inch object
hop on one foot
jump further
stand on one foot longer
manipulation: Manipulation: copies circles; puts together simple
puzzles; strings small beads; static tripod emerging
Cognitive: tells simple story
Language: speaks in more complete sentences
Social Emotional: shows interest in how things work
3.5 year old can:
MOBILITY
mobility: hop a few steps, kick ball, mount and dismount vehicle
manipulation: trace diamond, cut circle, TRIPOD STATIC GRASP
cognitive: can count 5 objects
language: asks to re-read fav books, scribble writing
social emotional: difficulty generating conflict resolution, will throw TANTRUMS IF SUCCESSFUL
4 year old can:
mobility:
manipulation:
cognitive:
language
mobility: walk down stairs alternating feet
gallop***
jump 2 feet
carry object blocking floor view
rotate body when throwing ball
manipulation: cut straight line w/ child scissors
TRIPOD GRASP
cognitive: tell you their age, match/name 4 colors
language: QUESTIONS
4.5 YEAR OLD:
mobility
manipulation
cognitive
social-emotional
mobility: catch ball if prepared, jump in air 2-3 inches, lean forward when jumping from height
manipulation: copies squares, button small button
cognitive: count up to 15
social-emotional: poor at self-control
5 year old can:
mobility: accelerate/decelerate when running
hop 8-10 steps
throw ball and hit target at 10 feet,
ROLLER SKATE
RIDE BIKE
manipulation: DYNAMIC TRIPOD GRASP
cognitive: count up to 20, understand past, present, future
social-emotional: poor at self control but improving….
6 year old can
skip
7 year old has a ____ pattern
mature gait
8 year old can
jump rope
