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Peds > motor development 0-6 > Flashcards

motor development 0-6 Flashcards

1
Q

neuro-maturationist view

A

stages occur as result of CNS maturation

  • development spirals w/ alt periods of flex/ext dominance and symm vs asylum
  • reflexes are building blocks
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2
Q

cognitive behavioral view

A

stages are empirical descriptions of behavior
interaction of ind w/ enviro drives development
pavlovian and operant response to enviro stim

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3
Q

cognitive paigetian view

A

alt periods of equilibrium and disequilibrium
interaction b/n cog-neural structures and enviro opportunities for action
reflexes–> voluntary action

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4
Q

motor learning theory view

A

cog -> associative -> autonomous
trial and error practice leads to motor program development
GMPs, shames = learning –> development

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5
Q

dynamic systems view

A

stages are relative stability arising from self organization
individual recognizes affordances in enviro - elects most appropriate repsonse
mult cooperating systems w/ individual rates of develop, self motivated exploration of enviro

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6
Q

anther, body mass, nutrition

A

overweight infants - physical development delay

iodine and iron - cog delays

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7
Q

gestational age

A

1st day of last menstrual period to day of delivery

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8
Q

full term

A

39-40 weeks

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9
Q

early term

A

37-38 weeks

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10
Q

premature

A

<37 weeks

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11
Q

corrected age

A

40 weeks - weeks premature

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12
Q

neonate

A

newborn

0-28 days

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13
Q

infant

A

0-12 months

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14
Q

toddler

A

1-3 years

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15
Q

asymmetrical tonic neck reflex

A 
(primitive - ATNR - fencers)
appears at 20 weeks gestration
integrates 4-5 months
stim: turn head
response: facial arm ext, AB. occipital arm F, AB
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16
Q

rooting reflex

A

(primative)
appear 28 weeks gestation
integrates 3 months
stim: tough perioral area of hungry infant
response: turns head and lips toward stim

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17
Q

suck-swallow

A

(primitive)
appears 28-34 gestation
integrates 5 months
stim: touch lips and inside of mouth for suckling and liquid for swallowing
response: rhythmic excursion of jaw; tongue rides up and down w/ jaw; followed by swallow

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18
Q

palmar grasp

A 
primitive
28 weeks gestation
integrates 4-7 months
stim: pressure on palm of hand
response: flexion of fingers
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19
Q

plantar grasp

A

appears 28 weeks gestation
integrates 9 weeks
stim: supported standing on feet or pressure to sole of foot just distal to met heads
response: flex toes

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20
Q

galant

A

28 weeks gestation
integrates at 3 mo, inconsistent
stim: prone, stroke paravertebral skin
response: lateral of curvature toward side of stim

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21
Q

moro

A 
(startle)
28 weeks of gestation
integrates at 3-5 months
stim: head drop backwards/loud noise
response: ab, ext arms, splay fingers, may be followed by arm flexion and adducction
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22
Q

automatic walking/stepping

A

37 weeks gestation
integrates 3-4 months
stim: hold upright w/ feet on support
response: high stepping movements w/ regular rhythm

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23
Q

symmetrical tonic neck

A

STNR
appear 4-6 months post full term delivery
integrates 8-12
stim: flex or extension of head
response: w/ head flexion, arms flex, hips extend, w/ head extension arms extended and hips flex

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24
Q

general neonate and fist month

A 
physiological flexion (from being in womb)
typically moving when awake
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25
Q

neonate/1mo supine

A

wide movements of arms
recoil w/ passive ext
rhythmic kicking when active

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26
Q

neonate/1mo prone

A

head to side w/ weight on cheek
may briefly lift head
elbows behind shoulders

27
Q

neonate/1mo pull to sit

A

total head lag

28
Q

neonate/1mo supported stand

A

automatic walking

29
Q

neonate/1mo atypical

A
  • strong ext, minimal physio flex
  • no flexor recoil
  • marked hypotonia
  • no LE kicking
  • does not accept weight in standing
  • no recognition of changing head position w/ pull to sit
30
Q

2 mo general

A

period of greatest asymmetry due to strong ATNR
more disorganized by 1mo old
not good time to eval motor progress

31
Q

2 mo supine

A

visual tracking
inc shoulder mobility
variety of LE kicking movements

32
Q

2 mo prone

A

briefly lift head to 45 deg
may begin to push up
frog legs (H f, er, ab K f, F df, ev

33
Q

2 mo pull to sit

A

attempt to lift head

34
Q

2 mo supported sit

A

briefly lifts head, unable to maintain

35
Q

2 mo atypical

A

poor visual tracking when head supported
limited rom of UE
strong ext of head, trunk, hips in sitting

36
Q

3 mo, general

A

emergence of symmetry and midline

37
Q

3 mo supine

A

vision - Alert and aware of enviro
UE - increased ROM (90), hand to mouth, self explore
LE - kick w/ symmetrical and reciprocal patterns

38
Q

3 mo prone

A

lift head 45-90 deg and maintains control
may tortate to track 180
elbows line w/ or in front of shoulders
frog legs

39
Q

3 mo pull to sit

A

initial head lag

no chin tuck

40
Q

3mo supported sit

A

extends back

rights head w/ hyper ext

41
Q

3 mo standing

A

supports weight on both feet

42
Q

3 mo atypical

A

poor visual control eat no tracking in supine
no ext at hips or trunk in sitting
no attempt to lift head with pull to sit

43
Q

4mo general

A

symmetry in posture and move

  • increase control over flex and ext
  • purposeful movements emerging
44
Q

4 mo supine

A 
reaches hands to knees 
head/neck control
eyes to track
hands together and hands to face
LE mirror UE when reaching
45
Q

4 mo rolling

A

supine to side lying

46
Q

4 mo prone

A

lifts head to 90 in midline

bears weight on forearm

47
Q

4 mo pull to sit

A

flex head and tucks chin

48
Q

4 mo supported sitting

A

stabilizes head in midline

49
Q

4 mo atypical

A

strong asymmetrical postures of head or trunk
poor midline oreintation
no hand on body exploration

50
Q

5mo general

A

emergence of dissociated and reciprocal limb movements

51
Q

5 mo supine

A

hands to feet, feet to mouth
use of visoin
chin tuck when engaged in flexion activities
kicks w/ dissociated movements

52
Q

5 mo supine to sidelying

A
  • symmetrically flexed to initiate
  • laterally flexes neck and trunk in side lying
  • bears weight on one arm and reaches w/ other
  • one sideline, top leg remains flexed and ab, bottom extends
53
Q

5mo prone

A

pushes up onto extended arms
reaching
toy manipulation

54
Q

5 mo pull to sit

A

no head lag

anticipatory strategy

55
Q

5mo propped sitting

A

briefly maintains
uses trunk ext
LE in ring sitting position

56
Q

5mo standing

A

bouncing

57
Q

5 mo atypical

A

-unable to adopt ring sit
-does not attempt to pull self to sit
-elbows behind shoulders in prone
-consistend rolling from supine to side lying w/ ext
-no rolling from supine to sidelying
-no lateral flex of head and trunk in sidelying
-no forearm wb in prone
can’t maintain propped sitting
does not bring heels to ground in standing

58
Q

6 mo general

A

controlled and purposeful movements

59
Q

6 mo supine

A

midline play

reaches w/ one or both hands

60
Q

6 mo rolling

A

rolls supine to prone (initiate from flexed)

rolls prone to supine (maintains control of head)

61
Q

6mo prone

A 
pivoting
wb on extended arms
may push up into quad
forearm WB to play, elbows well in front of shoudlers
reaching
62
Q

6 mo pull to sit

A

acutely pulls self to sit when hands are held

63
Q

6mo sitting

A

sit erect w/out support
head control
forward protective ext

64
Q

shoulder girdle review

A

0-2 elbow behind shoulder
3 elbow in line w/ shoulder
4 elbow in front of shoulders
5-6 arms ext

Peds (18 decks)

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