Motor Development Lecture Flashcards
1
Q
Four Major Milestone Types
A
- motor
- sensory
- communication
- feeding
2
Q
Goals of Motor Development
A
- control of body against gravity
- maintain body’s COM within the BOS
- intrasegmental and intersegmental isolated movements
3
Q
What is a Neonate?
A
0-28 days after birth
- dominated by physiological flexion
- disappears within 1st month of life (if full term)
4
Q
Prone Lying Positions
A
- head: turned to one side for breathing and feeding
- UEs: arms adducted into side of body, elbows caudal to shoulders, hands fisted
- Hips: strong hip flexion
- pelvis: ant. pelvic tilt
- butt in the air
5
Q
Prone on Elbows Positions
A
- head: ATNR is diminishing, midline cervical extensors used, cervical flexors are developing
- hips: fairly stabilized, need abs and extensors to help; need neutral pelvis or slight post. pelvic tilt
- LE: slightly abducted and ER, knees slightly flexed
- UE: at 2 mos control develops, abducts and flexes shoulders, elbows just below shoulder or slightly ant.; elongation in scapulohumeral
6
Q
Prone on Extended Arms Significance
A
- triceps and serratus are active now
- trunk extensors are active
- they can now get up on their hands and begin to reach for things (if stable)
7
Q
Pivot Prone Significance
A
signifies scapular and pelvic stability that can alternate
8
Q
Quadruped Significance
A
requires hip joint stability, trunk stability, and shoulder stability
9
Q
Crawling
A
- 3-9 mos
- “moving slowly by dragging the body along the ground”
- think Army crawl
- belly is on the floor, LEs are passive
10
Q
Creeping
A
- 6-7 mos
- “to move across the floor on hands and knees”
- trunk NOT intact with floor
- reciprocal, contralateral movements of UEs and LEs
- may progress to plantigrade creeping (bear walking)
11
Q
Supine Progression at 5 mos
A
- ANTR until 4 mos
- when physiological flexion disappears, head lag appears
- head in midline
- “fixing” is observed
- hands to knees and feet, feet to mouth
- shoulder protraction, hands to midline, ipsilateral reach then contralateral, development of body scheme
12
Q
Non-Segmental Rolling
A
- 3 mos
- body follows position of the head/neck
- body moves as a unit
- 0-6 mos
- prone to supine around 5 mos
- supine to prone around 6 mos
13
Q
Segmental Rolling
A
- 6 mos
- rotation within the spine (intra-axial)
- body moves in separate segments
- prone to supine around 5 mos
- supine to prone around 6 mos
14
Q
Supported Sitting
A
- completed C-Curve
- Pelvis is perpendicular to the surface on which he sits
- sacral sitting may indicate a pathology
15
Q
Propped Sitting
A
- approx. 5 mos
- diminished hand grasp reflex allows for child’s hands to be placed on ground flat
