Pediatrics Flashcards
Rooting Reflex
E- b4 born
I - 3mo
stroke cheek/lip. head turn to stimulation
searches for food
Suck Swallow Reflex
E- b4 born
I - 5mo
Finger into mouth. Baby sucks. Eat food
Traction Reflex
E - b4 birth
I - 5mo
Pull forearms to sitting. head, hand, arm flexion. Head lag expected until approx. 4mo.
Moro Reflex
E - b4 birth I - 4-6mo startle/drop head back 1. arm extension/abduction 2. arm flexion/adduction protective alarm system
Plantar reflex
E - b4 birth
I - 9mo
Pressure on ball/sole of foot
Toes curl in flexion. Prepares feet to position in standing
Retained = grav. insecurity, tactile sensitivity, prob w/foot positioning.
Galant Reflex
E - b4 birth
I - 2mo
Prone Suspension. Stroke side of spine. Lateral trunk flexion
trunk stabilization, balance & hip ROM for crawl/walk
Palmar Grasp
E - b4 birth I - 6mo Finger in palm, finger flexion. Increased tactile input to palm. Retained = poor FM, poor grasp release
ATNR
E - b4 birth
I - 4-6 mo
rotate head to side - hold 5s. Fencing pose.
Retained = head dictates arm mvts. difficulty crossing midline, poor hand eye coordination, poor reading comprehension, poor handwriting
TLR
E - B4 birth
I - 6mo
Lay prone - total body flexion
Lay supine - total body extension
Retained = prone - diff lift/extend head
Supine - diff sitting up d/t extensor dominating. Either one = decreased posture, tone, coordination.STNR
E - 4-6 mo
I - 8-12mo
Quadruped
flex head - arms flex, legs extend
extend head - arms extend, legs flex
important for crawling.
retained= interfered with sitting up. Leg extension resists movement.
Landau
Landing a plane
E - 3mo
I - 12-24mo
Hold prone in air. Total body extension.
Righting Reactions
Initiate Rolling
Critical for head control, crawling, standing
Neck Righting
E - 4-6mo
I - 5yrs
Supine turn head to side. body LOG ROLLS to follow
important for transition from supine to side-lying
Body Righting
E - 4-6mo
I - 5yrs
Bend 1 leg to chest = segmental rolling -more mature
Optical Head Righting
E - Birth
I - persists
tilt to side/forward/back. maintains head upright
uses visual cues
Labyrinthine Head Righting
E - birth
I - persists
Cover eyes, tilt in space. maintains head upright using vestibular system.
Downward parachute reaction
E - 4mo
I - persists
hold vertically, quickly lower feet toward surface. Legs extend/straighten
protective against fall
Forward Parachute reaction
E - 6mo
I - persists
Prone suspension, tip forward. arms extend/abduct
Sideward Parachute Reaction
E - 7mo
I - persists
Sitting, tip to side
unilateral arm extension/abduction
Backward Parachute
E - 9mo
I - persists
sitting, tip back
bilateral arms extend back or spinal rotation and unilateral arm extension.
Equilibrium reactions
all - balance on tilt board Spine curves toward lifted side, arms/legs extend/abduct Prone tilt - E - 5mo Supine tilt - E - 7-8mo Quad tilt - E - 9-12mo Standing tilt - E - 12-21mo
1st line of defense against falling =
2nd line of defense =
1st = equilibrium reactions 2nd = protective reactions
Pellet Grasp Progression
Visual Attention - 3mo Raking grasp - 6mo Inferior Scissors Grasp - 7mo Scissors Grasp - 8mo Inferior Pincer - 9mo Pincer Grasp - 10mo Fine Pincer - 12mo
0-12yrs = what type of play
Exploratory/Social
0-3mo motor development
The New World observing/tracking eye contact smile/coo head side to side head righting bear weight on forearms uncoordinated swiping
4-6mo motor development
The Stronger World
Increased trunk strength/stability/head control
Lifting head - NO LAG
FOMO - fear of missing out
