Part 7

Question 1

1. Hand Skill Development

a. Newborn

Answer 1

i. Hands to face
ii. Reflex
iii. Starting to visually regard their hands (look at them)

Question 2

Hand Skill Development

b. First few months

Answer 2

i. Swiping or batting at objects

ii. No control of hands just arm movements

Question 3

Hand Skill Development.

3 to 4 months

Answer 3

i. Midline orientation of the hands

ii. Symmetrical Bilateral reaching

Question 4

Hand Skill Development

d. 5 to 6 months

Answer 4

i. Pushing up on hands
ii. Somewhat manipulating hands/fingers, closing/opening hands
iii. More of a purposeful reach/bat/swat

Question 5

Hand Skill Development

e. 9 to 12 months

Answer 5

Moving to radial side

ii. Improved pincer grasp
iii. More purposeful use of the hands
iv. Individual finger movements
v. Patti cake, peek a boo

Question 6

_-6 months- Transfers the object from one hand to the other by fully opening the releasing hand

Answer 6

5

Question 7

8-__ months- Begins to release objects without stabilizing them with the other hand

Answer 7

9

Question 8

8-__months- Holds one object in each hand and bang

Answer 8

9

Question 9

__ months- Frequently uses role-differentiated strategies (i.e., one hand stabilizes or holds the materials and the other manipulates)

Answer 9

18

Question 10

3. Grasp Pattern Development

a. Ulnar fingers show activation before __ and ___

Answer 10

radial fingers and thumb

Question 11

b. ____ patterns precede finger grasp (distal) patterns

Answer 11

Palmar grasp (proximal)

Question 12

c. _____ muscle activation dominates before ___ muscle activation

Answer 12

Extrinsic

intrinsic

Question 13

Grasp development

Answer 13

a. 6 to 9 months
i. more thumb use with grasp
b. 7 months-
i. Crude raking of a tiny object
ii. Still ulnar side
c. 9 months
i. Crude pincer grasp
d. 8 to 9 months
i. Start to shape their hand to what they expect the size to be
e. 9 to 12 months
i. More refined
ii. Starting to use the pads and tips of their fingers for manipulation
f. 15 months
i. Feeding themselves
ii. More control of intrinsic and extrinsic muscles
g. 18 months to 3 years
i. Using disc grasp, cylindrical grasp, and spherical grasp
ii. Increased strength of grasp

Question 14

c. Shift (linear movement on the finger surface, ex: buttoning)
d. Simple rotation (90 degrees)
e. Complex rotation (180-360 degrees)

Answer 14

Know these

Question 15

a. Primary reason for referral for school OT is ____

Answer 15

handwriting

Question 16

Amount of school day on average focusing on fine motor skills is __ to ___%

Answer 16

31- 60%