Typical Development Flashcards
infancy ages
birth - 1 year
neonatal ages
birth - 2 weeks
infant ages
3 weeks - 12 months
toddlerhood ages
13 months - 2 years (2 y, 11 m)
early childhood ages
3-10 years
preschool ages
3-5 years
elementary school ages
5-10 years (10 y, 11 m)
adolescence ages
11-18 years
young adulthood
18-22 years
adulthood
middle adulthood
late adulthood
adult 22-40
middle 40-65
late 65+
what is AMA?
pregnancy where mother is older than 35
Erikson’s stage for infancy
0-1 year
basic trust vs. mistrust
resolution - hope
Erikson’s stage for early childhood
1-3 years
autonomy vs. shame and doubt
resolution - will
Erikson’s stage for play age
3-6 years
initiative vs. guilt
resolution - purpose
Erikson’s stage for school age
6-12 years
industry vs. inferiority
resolution - competence
Erikson’s stage for adolescence
12-19 years
identity vs. confusion
resolution - fidelity
Erikson’s stage for early adulthood
20-25 years
intimacy vs. isolation
resolution - love
Erikson’s stage for adulthood
26-64 years
generativity vs. stagnation
resolution - care
Erikson’s stage for old age
65-death
integrity vs. despair
resolution - wisdom
what is a child’s main occupation?
play
what has the greatest influence on the child’s development and functioning as an adult?
families
ICF-CY recognizes development and disability as ____ processes
parallel
ICF-CY: changes in functions, activities, and participation reflect the critical role of:
environment
child in context
development
behavioral regulation and organization
temperament, timing, and maturation
what are the 4 elements of good evidence-based practice?
awareness
consultation
judgement
creativity
what are the 3 components of an examination?
history
systems review
tests and measures
process where PT makes clinical judgements
evaluation
____ specifies the interventions to be used and the timing and frequency
POC
2 main aspects of the intervention
purposeful and skilled
outcomes should be measured in what 3 dimensions?
child and family characteristics
program/intervention features
goals and objectives
outcome measures must include _____ and ____ and consider _____
child AND family
quality of life
first trimester weeks and growth
1-12
all major body systems established
second trimester weeks and growth
13-26
body proportions grow to newborn size
third trimester weeks and growth
27-40
body weight triples, length doubles
body fat accumulates
when are lungs developed prenatally?
36 weeks
embryo time frame
1st 8 weeks
fetus time frame
8 weeks-birth
what is STORCH?
Syphilis
Toxoplasmosis
Other infections (HIV, coxsackie, Varicella-Zoster)
Rubella
CMV
Herpes simplex virus
predictable sequence of development depend on
nervous system development
genetics
environment
direction of development
cephalic to caudal
proximal to distal
gross to fine motor
apgar score
delivered at 1 & 5 minutes (10 if needed)
5 sections, scored 0-2
total score = 10
5 sections of the Apgar
color
HR
reflexes
muscle tone
respiration
what is considered full term?
38-42 weeks
what is considered premature?
37 weeks or less
what is considered extreme premature?
28 weeks or less
presentation of newborn
head larger with short LEs
kyphotic
horizontal ribs
ROM differences in newborns
excessive DF
30 deg flexion contractures at hips & knees
newborns are dominated by
physiological flexion
issues for unintegrated TLR and ATNR
difficulty with motor skills such as running, cycling, throwing, or catching a ball
issues for unintegrated STNR, plantar grasp, palmar grasp, and Galant
poor posture, poor hand-eye coordination, and focusing difficulties
what cognitive issue can be associated with unintegrated primitive reflexes?
ADHD
flexor with drawl reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 1-2 months
response: noxious stimulus to sole of foot results in flexion withdrawal of leg
crossed extension reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 1-2 months
response: extension and adduction of opposite leg with noxious stimulus of sole of foot
positive support/primary standing reflex
appears:
integrates:
response:
appears: 35 wk gestation
integrates: 1-2 months
response: leg extension and WB for 20-30 sec when held in supported standing
support & stepping/automatic walking reflex
appears:
integrates:
response:
appears: 37 wk
integrates: 3-4 months
reappears at 10-15 months
response: steps when inclined forward
rooting reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 3 months
response: brush cheek in supine results in turning head to stimulus
sucking reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 3 months
response: suck symmetrically and strong in supine with bottle or knuckler
suck-swallow reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 5 months
response: rhythmic excursion of jaw
moro reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 3-5 months
response: sudden position change of head results in out/in with UE
asymmetric tonic neck reflex (ATNR)
appears:
integrates:
response:
appears: 20 wk gestation
integrates: 4-5 months
response: supine, head rotation elicits chin side arm to extend and opposite arm to flex
palmar grasp reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 4-7 months
response: palmar stimulus –> grasp
2 phases: finger closure and clinging
integration of palmar grasp reflex indicates
cortical maturation and development of voluntary motor milestones
persistence of palmar grasp reflex past 7 months indicates what diagnosis
spastic CP
weak palmar grasp reflex before 6 months indicates
possible peripheral nerve injury (ex: BP)
palmar reflex in adulthood indicates
cortical lesion (ex: stroke) to medial or lateral frontal cortex
tonic labyrinth reflex (TLR)
appears:
integrates:
response:
appears: birth; best seen at 3 months
integrates: 6 months
response: greater flexion tone in prone; greater extensor tone in supine
symmetric tonic neck reflex (STNR)
appears:
integrates:
response:
appears: 4-6 months
integrates: 8-12 months
response: head flexion causes arms flex & hips extend; head extension causes arms extend & hips flex
what reflex preps for crawling?
STNR
plantar grasp reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 9 months
response: pressure to sole of foot causes flexion of toes
Galant reflex
appears:
integrates:
response:
appears: 28 wk gestation
integrates: 9 months
response: supported prone, stroke unilateral paraspinals results in lateral flex to stimulus