Psychology Flashcards
(25 cards)
VA timeline
1 week = visual function with flash VEP
1 month = spatial acuity with pattern VEP
6 months = pattern VEP shown to demonstrate 20/20
3-4 years = subjective methods show 20/20
Spatial acuity by forced choice preferential looking
- 1 mo
- 1 yr
- 3-4 yrs
1mo: 20/600-1200
1yr: 20/50-60
3-4yr: 20/20
Infant OKN
Asymmetric until 3-5mo (incomplete cortical development)
- normal temp to nasal (“ToNs of movement”)
- abnorm nasal to temp
Development of vernier and recognition acuity
V: aka hyperacuity
- develops slowly (worse than spatial until 4mo)
- at 4 mo develops rapidly -> better than spatial
- adult levels at 6-8 years
R: doesn’t develop until 2-3 years
Why VA is poor until 3-5 yo (3)
Foveal cone PRs shorter + wider than adults until 4yo
Incomplete myelination of visual pathway
-most by 4-6mo, all by 2 years
Under-developed visual cortex until 6mo
-continues well into childhood
Refractive error
- newborns
- 10 weeks
- 20 weeks
- 1 year
+2.00 ± 0.75
Axial length 16mm
10 wk: plano to +4
20 wk: plano to +3
1 yr: +0.50 to +1.00
-stable into teens
Emmetropization
- greatest degree when
- when doesn’t happen
First 2 years
Extreme REs: > +5.00 or -4.50
Astigmatism in newborns
In 50%
Avg 2D ATR at 6mo
Decr to 0.50 or less by 2 years
Development of accommodation and vergences
A: capable in few weeks, adult levels 3-4mo
V: capable in few weeks
- 1 mo: consistent divergence
- 2 mo: consistent convergence, accomm and conv become linked
- 6 mo: adult levels
By 6 mo, all eye movements have usually reached adult levels
Development of saccades and pursuits
S: make one large saccade instead of many small by 6 mo (immature cortical system)
P: series of small saccades until 8 weeks, normal pursuits by 4mo
By 6 mo, all eye movements have usually reached adult levels
Development of stereopsis
Appears suddenly at 3-5mo
Adult levels 4-6mo
1min of arc by 24mo
Development of contrast sensitivity
Peak at 4 years
Overall adult levels 7-9 years
Development of color vision
Newborn: discern between red + achromatic
- photopic = adults
- scotopic = adult 4-7 mo
3-4mo: hue discrimination adult levels
Ocular dominance columns
1 = only contralateral 4 = equal both eyes (majority of all cells are binocular) 7 = only ipsilateral
Dip in center (less both eyes) can indicate alternating strabismus Critical period (esp first 2 years)
Normal changes with aging
- VA
- refractive error
- contrast sensitivity
VA:
- high contrast stable until 65-70 years
- low contrast, low illumination decr 50-80
RE: incr ATR, hyperopia
CS: stable until 65
Normal changes with aging
- accomm and convergence
- oculomotor system
- stereo
AC: decr in lens elasticity, decr in accomm convergence
OS: use more saccades, upgaze is usually most difficult movement
S: decr after 50
Normal changes with aging
- VF
- dark adaptation
VF: useful field begins to decline after 50
DA: decr due to reduction in formation of rhodopsin
Infant exam
- suckling reflex
- rooting reflex
- babinski
- plantar grasp
SR: involuntary until 2mo
RR: stroke cheek = turns head toward
B: toes fan outward towards infants body
PG: toes curl downward if the plantar surface of the foot is touched
Infant exam
- placing
- stepping
- fencing
P: held next to surface = lift foot as if stepping onto
S: mimic walking
F: turn baby’s head to one side = ipsi arm/leg should extend while flexion of arm/leg occur on contra side
Infants
- when do reflexes begin being replaced by voluntary movements
- when lingering primitive reflexes are concerning
3mo
1yr
Gross/fine motor development
- 5mo
- 7mo
- 9-10mo
- 12mo
5: raise head, roll over
7: creep (drag selves on stomach), pincer grasp (b/w thumb and forefinger)
9-10: crawl, cruise (few steps if holding onto furniture)
12: walking with someone holding hands, refining pincer grasp, learning to release objects
Gross/fine motor development
- 15mo
- 15mo-2yrs
- 2yrs
- 3yrs
15: walking on own, throw, turn pages, hold spoon, build 2-block tower
15-24: walk backward, climb up/down stairs, jump, scribble
2: walk up stairs on own, kick ball, 7-block tower, open doors
3: draw circle
Gross/fine motor development
- 5yrs
- 6yrs
5: copying
6: each child’s motor skills begin to vary
When babies
- smile
- smile only at faces they recognize
- coo
- recognize emotion behind speech pattern
3mo
4-5mo
6mo
7mo