Motor Milestones Flashcards

1
Q

Neonatal: Prone

A
  • UEs and LEs symmetrical and flexed
  • Face turned to side (Protect airways)
  • Able to lift head and turn to side; weight shifted on to shoulders
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2
Q

Neonatal: Supine

A
  • Extremities kept flexed; CAN move against gravity
  • Head kept to side
  • HEAD LAG during PTS
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3
Q

Neonatal: Standing

A
  • Positive Support Reflex

- Automatic walking reflex

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4
Q

2 Months: Prone

A
  • Hips extended and pelvis flatter
  • Shoulders ABd- beginning to put weight through hands and upper chest (Stability)
  • Brief maintenance of head in midline
  • More LE movement (since UE stabilized)
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5
Q

2 Months: Supine

A
  • ACTIVE NECK ROTATION
  • Increased UE and LE ER and ABd
  • Increased hip extension
  • Eye hand regard with brief visual fixation
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6
Q

2 Months: Sitting

A
  • Less head lag with PTS
  • Intermittent neck control in supported sit
  • Requires FULL trunk support
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7
Q

2 Months: Standing

A
  • Automatic Walking DISAPPEARS

- Little to no weight taken through LEs

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8
Q

3 Months: Prone

A
  • Can hold head up to 90 degrees
  • POE; Wide UE BOS
  • Increased Hip Extension
  • LEs ABd and ER
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9
Q

3 Months: Supine

A
  • CAN HOLD HEAD IN MIDLINE
  • Antigravity UE orientation/ Play in Midline
  • LEs ABD and ER at rest
  • Kicking movements of LEs
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10
Q

3 Months: Sitting

A
  • Beginning active neck flexion during PTS
  • Trunk rounded in supported sitting
  • Maintains anti-gravity head control with SHOULDER ELEVATION
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11
Q

3 Months: Standing

A
  • Will take weight through LEs in supported standing
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12
Q

4 Months: Prone

A
  • Increased trunk extension and control
  • Midline anti-gravity head control
  • Les more ADD (NARROW BOS)
  • Beginning weight shift in POE
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13
Q

4 Months: Supine

A
  • Holds head in midline
  • Reaching and midline play using UEs
  • ANTIGRAVITY HIP FLEXION (Posterior Pelvic Tilt)
  • INCREASING PELVIC MOBILITY
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14
Q

4 Months: Sitting

A
  • Actively flexes neck and elevates shoulder during PTS
  • Midline head control during PTS maneuver
  • Upper Trunk Extended in Supported Sitting
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15
Q

4 Months: Standing

A
  • Takes weight through LEs in Supported Standing

- Needs less trunk support

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16
Q

5 Months: Prone

A
  • Hips more extended
  • Upper body stability allows greater active LE movement
  • BEGINS TO WEIGHTSHIFT IN PRONE (may accidentally roll)
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17
Q

5 Months: Supine

A
  • Increased antigravity control of extremities
  • Hip and abdominal control increased
  • CONTROLLED REACHING with FULL EXTENSION of UEs
  • May begin roll to sidelying
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18
Q

5 Months: Sitting

A
  • Tucks chin and keeps head in midline during PTS
  • Less shoulder elevation secondary to increased abdominal control and UE control during PTS
  • Leans forward and props on UEs or maintains UEs in high guard
  • Increased Lower Body BOS to stabilize
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19
Q

5 Months: Standing

A
  • May try to pull to stand during PTS
  • Will HYPEREXTEND knees to stabilize
  • Increased LE BOS to stabilize
20
Q

6 Months: Prone

A
  • Pushes up into prone on EXTENDED ARMS
  • “Swimming” movements
  • Shifts weight and reaches forward
  • May begin crawling
21
Q

6 Months: Supine

A
  • Active, purposeful ANTIGRAVITY NECK FLEXION
  • Bilateral UE reaching and object manipulation
  • Strong hip flexion with LE extension
  • ROLLS TO PRONE USING LATERAL RIGHTING RESPONSE
22
Q

6 Months: Sitting

A
  • Pulls self up on examiner’s finger during PTS
  • Antigravity head and trunk control
  • Hip extensors stabilized with PPT
  • UE free for play or for protective extension forward
  • CAN SIT INDEPENDENTLY WHEN PLACED
23
Q

6 Months: Standing

A
  • Can sustain weight through LEs

- May see BOUNCING in supported standing

24
Q

7 Months: Prone

A
  • Much more movement variability in prone
  • Crawling more common– uses upper and lower trunk weightshifting
  • Can roll to side lying. Likes to play in this position while propped on elbow
25
Q

7 Months: Quadruped

A
  • May begin to rock back and forth and push into sitting via lateral weight shift
  • NOTE: Elongation on WB side and Lateral Flexion on NWB side
26
Q

7 Months: Sitting

A
  • Emerging LATERAL protective resposnes
  • Wide base of support with LE’s abducted and ER to protect from large weight shifts
  • Freely uses UE’s to play
27
Q

7 Months: Standing

A
  • May pull to stand– will rely on UE’s for support
  • Can maintain hip extension
  • May see bouncing in this position
28
Q

8-9 Months: Sitting

A
  • Significant improvement in trunk control
  • Can use modified tailor sitting with more knee extension and adduction
  • Can ROTATE TRUNK and LATERALLY GEIGHTSHIFT without falling
29
Q

8-9 Months: Creeping

A
  • May be primary means of locomotion

- Counter- Rotation of trunk and pelvis seen with reciprocal creeping

30
Q

8-9 Months: Kneeling

A
  • Begins to assume kneeling from quadruped by actively extending the trunk
  • No longer requires UE support to lift trunk
  • May not have full hip extension in this position
31
Q

8-9 Months: Standing

A
  • Can get to standing from kneeling using UEs
  • May begin to initiate LE dissociation via 1/2 kneeling
  • Knee extension still MORE DOMINANT than hip extension
  • LEs ABDucted and ER for stability
32
Q

8-9 Months: Cruising

A
  • Alternate Hip ABD/ADD
33
Q

10-12 Months: Sitting

A
  • Transitions to/from sitting are easier and quicker secondary to improved trunk control and increased mobility around the hips
  • Able to independently assume and maintain trunk extension for kneeling and more active hip extension
  • Alternates between kneeling and knee-sitting
34
Q

10-12 Months: Fine Motor Skills

A
  • May Revert to more stable (but more immature) positions while working on fine motor skills
35
Q

10-12 Months: Kneeling and Climbing

A
  • Kneeling and Climbing continues to improve
36
Q

10-12 Months: Cruising/Emerging Gait

A
  • Begins cruising forward
  • Emerging Mature Gait Pattern: initially see high guard posture which eventually decreases; gait speed decreases; eventually see reciprocal arm swing
37
Q

12-18 Months: TODDLER: General

A
  • Tries to go up and down steps
  • Advanced Equilibrium Skills: on riding toys, during climbing
  • Significant fine motor skill development
  • HAND PREFERENCE EMERGES AROUND 1 YEAR
38
Q

12-18 Months: TODDLER: Fine Motor Skills

A
  • More variety in grasping pattern
  • Holds 2 objects in one hand
  • More successful release
  • Pours; turns knobs
  • Reciprocal hand skills emerging (one manipulates, one stabilizes)
  • Objects have purpose; hand skills are driven by function (increased tool use)
39
Q

18 Months- 24 Months: Higher Level Gross Motor Skills

A
  • Begins to jump in place
  • Walks backward
  • Carries objects while walking
  • More mature arm swing
  • Walks fast, seldom falling
  • Runs Stiffly
  • Walks Up stairs with one hand held
  • May go up steps NON- RECIPROCALLY
  • Seats self in a small chair
  • Climbs into an adult chair
  • Hurls a ball
40
Q

2 years: Higher Level Gross Motor Skills

A
  • Runs without falling
  • Walks up and down stairs alone
  • Jumps off a low step
  • Kicks a large ball
  • Throws overhand
41
Q

3 Years: Higher Level Gross Motor Skills

A
  • Walks up stairs by ALTERNATING feet
  • Walks well on toes
  • Demonstrates a true run
  • Pedals and steers tricycle
  • Jumps from a step
  • Mature walking pattern by age 3
42
Q

4 Years: Preschool

A
  • Goes up and down steps with alternate feet
  • Gallops
  • Skips on one foot
  • Hops on one foot
  • Climbs well
  • Enjoys athletic activities
  • Independent dressing and grooming
43
Q

5 Years: Preschool

A
  • Skips with alternate feet
  • Walks on a balance beam
  • One foot balance for 10 seconds
  • Able to walk on toes
  • Hop on 1 foot several times
  • Roller Skates; Rides a bike
  • Can start and stop quickly
44
Q

6-7 Years: School Age

A
  • Can do sit ups, modified push ups
  • Can kick a ball
  • Can bounce a ball
45
Q

7-8 Years: School Age

A
  • Jumps Rope

- Throws and bats more skillfully

46
Q

Adolescence: Motor Skill Changes

A
  • Enhanced muscle mass
  • Increases in speed, strength, agility, and balance
  • Refinement of gross motor skill coordination and timing
  • Increased endurance; improved economy of movement
  • Increases in intensity and frequency of activities that may predispose one to injury
  • Period of rapid skill development
  • Period of major growth changes