Peds Flashcards
Motor Development in the First Year of life (Gross and Fine)
Gross-Stand
Fine-Pincer Grasp
Newborn to 1 Month Gross Motor PRONE SUPINE SITTING STANDING
PRONE: Physiological flexion, lifts head briefly
SUPINE: physiological flexion rolls partly to side(reciporcal and symmetrical kicking)
SITTING: head lag in pull to sit
STANDING: Reflex standing and walking
Newborn to 1 Month Fine Motor PRONE SUPINE SITTING STANDING
- Regards objects in direct line of sight
- Follows moving object to midline
- Arm movements jerky
- Hands fisted
- Movements may be purposeful or random
2-3 Months Gross Motor PRONE SUPINE SITTING STANDING
Prone: Lifts head 90⁰ briefly, chest up with some weight through forearms, rolls prone to supine
Supine: ATNR influence strong, legs kick reciprocally, prefers head to side
Sitting: Head upright but bobbing, variable head lag in pull to sit, needs full support to sit
Standing: Poor weight bearing, Hips in flexion, behind shoulders
2 to 3 Months
Fine Motor
Can see further distances Hands open more Visually follows through 180⁰ Grasp is reflexive Uses palmar grasp
4 to 5 months Gross Motor PRONE SUPINE SITTING STANDING
Prone: Bears weight on extended arms, pivots in prone to reach toys
Supine: Rolls from supine to side position, plays with feet to mouth
Sitting: Head steady in supported sitting position, turns head in sitting position, sits alone briefly
Standing: Bears all weight through legs in supported standing
4 to 5 Months
Fine Motor
Grasps and releases toys
Uses ulnar-palmar grasp
6 to 7 Months Gross Motor PRONE SUPINE SITTING MOBILITY
Prone: Rolls from supine to prone position, holds weight on one hand to reach toy
Supine: Lifts head
Sitting: Lifts head and helps when pulled to sitting position, gets to sitting without assistance, sits independently
Mobility: May crawl backward
6 to 7 Months
Fine Motor
Approaches objects with one hand
Arm in neutral when approaching toy
Radial-palmar grasp
“Rakes” with fingers to pick up small objects
Voluntary release to transfer objects between hands
8 to 9 Months Gross Motor PRONE SUPINE SITTING STANDING MOBILITY
Prone: Gets into hands-knees position
Supine: Does not tolerate supine position
Sitting: Moves from sitting to prone, sits without hand support for longer periods, pivots in sitting
Standing: Stands at furniture, pulls to stand, lowers to sitting from supported stand
Mobility: Crawls forward, walks along furniture (cruising)
8 to 9 Months
Fine Motor
Develops active supination Radial-digital grasp develops Uses inferior pincer grasp Extends wrist actively Points & pokes with index finger Release of objects is more refined Takes objects out of container
10 to 11 Months
Gross Motor
Standing
Mobility
Standing: Stands without support briefly, pulls to stand using half-kneel intermediate position, picks up object from floor from standing with support
Mobility: Walks with both hands held, Walks with one hand held, creeps on hands and feet (bear walk).
10 to 11 Months
Fine Motor
Fine pincer grasp developed
Puts objects into container
Grasps crayon adaptively
12 to 15 Months
Gross Motor
Mobility
Mobility: Walks without support, fast walking, walks backward, walks sideways, bends over to look between legs, creeps or hitches upstairs, throws ball in sitting
12 to 15 Months
Fine Motor
Marks paper with a crayon
Builds a tower using 2 cubes
Turns over a small container to obtain contents
