Test 1: 18m-5 years Flashcards
Gross motor: Walking and stairs
~18 mo: Walks down stairs while holding on
18-20 mo: Falling while walking more rare now, runs with eyes on ground
24-30 mo: Walks up stairs “step to” without support
25-26 mo: Walks backward 10 feet
27-28 mo: Walks 3 steps on taped line
30-36 mo: Walks up stairs step over step
36-42 mo: Walks downs stairs step over step, true bilateral flight phase
running
41-42 mo: Runs with reciprocal arm swing, on balls of feet, forward trunk
lean.
Initial Walking
3-6 months
- Unpredictable loss of balance
- Rigid, halting stepping
- Short step length
- High hand guard/outstretched arms
- Flat foot contact
- Wide base of support
-Toes turned out/external rotation
- Brief single limb stance (32% of gait cycle)
- Knee flexion in stance
- 17 falls/hour
Immature Walking
Approximately 2 years of age
- Occasionally loses balance
- Gradual smoothing of pattern
- Increased step length
- Reciprocal arm swing
- Heel strike
- Base of support within lateral dimension of the trunk
- Minimal toeing out
- Vertical lift
- Longer single limb stance (34% of gait cycle)
- Greater knee flexion after foot strike
- Seldom falls
Mature Walking
7 years of age; approximates adult gait
- Rarely loses balance without perturbation
- Relaxed, elongated gait
- Increased step length
- Reciprocal arm swing
- Heel strike
- Narrow base of support
- Minimal vertical lift
- 38% of gait cycle is single limb stance
Gross motor milestones: Jumping and other gross motor
2 years: Jumps down from step
2.5+ years: Hops on one foot briefly, begins to ride and pedal a tricycle, begins to kick balls
3 years: Clears floor with both feet when jumping (~2 inches)
3-5 years: jumps over objects, hops on one foot consistently, kicking continually refined, improved balance and more accurate, progresses from riding a tricycle to riding a bicycle
3-4 years: Gallops, leading with one foot
5 years: Hops in straight line
5-6 years: Skips, maintains balance
Fine motor milestones
18-24 mo: Scribbles spontaneously
24-36 mo: Digital pronated grasp, imitates vertical then horizontal stroke
3 years: copies a circle, then able to copy a diamond with rounded edges
4 years: cuts straight line with scissors, can copy a cross pattern progressing to copying a square, static tripod pencil grasp, may progress to finger grip by 5, able to button small buttons.
5 years: dynamic tripod grasp, can copy a square
Social emotional milestones
18-24 mo: Separation distress/stranger danger improving, begins to show empathy towards other’s distress, uses words to protest/show disatisfaction
24-36 mo: Responds to cues in a socially acceptable way. Begins to respond verbally to other’s distress, may pretend to perform common caregiver actions, includes others in pretend play/plans
3 years: Uses physical more than verbal aggression, aggressive behavior can escalate quickly if successful, shows interest in why/how things work, generating alternatives in a
conflict is difficult
4 years: watches 2-4 hours of tv/day
Cognitive and language milestones
18-24 mo: 50-200+ word vocab, object permanence demonstrated by “finding” hidden objects, uses toys/dolls in pretend play
24-36 mo: substitutes objects in pretend play (stick is a sword, etc), matches objects, rapid increase in language ability, uses two part sentences
3 years: Counts to 5, can tell simple story, fantasy vs reality is difficult
4 years: Can line up equal rows, gives age accurately, matches 4 names and
colors, can count to 15, understands spatial words like “beside” and “between”
5 years: Understands temporal relationship (past, present, future), organizes by “class”
Neuromaturational Theory
Foundation of other theories
- development follows a set, invariant sequence
- development is tightly tied to CNS development
- Motor development is cephalocaudal and proximal to distal
Psychoanalytical/Psychosocial Theory
- There are biologically determined drives and unconscious conflicts
- The core of these conflicts is sexual
- Initial drives are for survival; when basic needs are met, we seek self-actualization
Ecological/Contextual Theory
- Environment has a very strong influence on child development
Dynamic systems theory
All systems are interacting together at all times
Movement is based on internal and external factors
How does play progress?
Play expands from basic, solo, sensory driven to a much more interactive and social experience
Practice Play
0-2 years old, characterized by repetitive activities
Unoccupied play: plays with objects, no apparent purpose, banging rattles, mouthing
Onlooker play: Child watches someone else play
Solitary play: Ignores others, but plays with purpose
Symbolic play
3-5 years
- Parallel play: independent play, but shows awareness and interest in others. Same activity next to each other, but not together
- Associative/interactive play: Children initiate contact with each other, play house,
superheroes, other make believe games. Sharing, taking turns, make believe and fantasy are a big part of this stage