Unit 1 Main Points Flashcards
Which happens first: rolling prone to supine, or supine to prone
Prone to supine (4mo)
Supine to prone (5mo)
Sits indep erect
full WB in supported standing
pull to sit
6mo
Independent rolling
Crawling
7mo
Creeping
Sit to quad
Pull to stand
8mo
Cruising
Mature ctrl of sitting
9mo
Squat at support surface
10mo
Deep squat
11mo
Independent walking
Quad to stand
12mo
Reciprocity
3mo
50 words in vocab
2 word sentences
2yr
Germinal period
0-2wks
Embryonic period
3-8wks
Fetal period
9wk to birth
Order of sensory development (from first to last)
tactile - vestibular - olfactory - auditory - vision
Malformations are in the ____ period
embryonic
Deformations are in the ____ period
fetal
Limb buds
4wk
Active movement
8-12wk
Overall critical period
0-8wk
CNS critical period
2-8wk
Heart critical period
3-7wk
Skeletal critical period
4-6wk
ant neural tube fails to close
Anencephaly
post neural tube fails to close
Myelomeningiocele
asymm flat head
Plagiocephaly
symm flat head
Brachycephaly
unilateral SCM short
Torticollis
Pavlik
90-100° flex/ABD/ER
Risks for DDH
breech, girl, small intrauterine space
Malformation involving reduction/absence of long axis elements
Longitudinal Limb Deficiency
hypoplasia/absence of prox femur
Proximal Femoral Focal Deficiency
forefoot ADD
Metatarsus Adductus
Dflex + inv
Talipes Calcaneovalgus
forefoot ADD, calc varus, supination
Talipes Equinovarus (Club Foot)
lack of O2 at birth, Cooling protocol, may lead to CP
Hypoxic Ischemic Encephalopathy
CT disorder, lax joints, weak musc, osteoporosis.
Osteogenesis Imperfecta
2+ contractures
Arthrogryposis Multiplex Congenita
impaired CaCl, salty
cystic fibrosis
duplicate chrom 21
Trisomy 21 (Downs)
microdeletions, Hypotonia, feeding prob, devel delay, obesity, coordination prob
Prader-Willi
deletion chrom 25, Hypotonia, feeding prob, devel delay, tremulous, ataxia, hand flap
Angelman
herniate within sac
Omphalocele
herniate outside sac
Gastroschisis
Antetorsion - what is it? risk factors?
head/neck of femur rotate forward
in-toe, w-sit
Antetorsion birth vs adult
birth = 30-40deg Adult = 12deg
Knee progression from birth to age 2.5yr
Mod varum > mild varum > straight > slight valgus
Knee adult
F = slight valgus M = slight varus
Age ___ can resolve sensory conflict to maintain balance
2-10yr
Age __ uses vision to move neck
4-6 days
Age __ uses somatosensory to balance
6mo
Age ___ using somatosensory for balance is same as adults
7-10yr
Age __ uses somatosensory to resolve conflict in standing
4-6yr
Reactive Postural Adjustment (RPA) is open-loop or closed-loop?
closed
Anticipatory postural adjustment (APA) open or closed-loop?
open
RPA 5-6mo
activate muscles opposite to direction of fall
RPA 10-12mo
activate muscles similar to adults
APA 6-8mo
activates trunk before activating arms
APA 3-5yr
similar to adult
Righting rxn vs. equilibrium rxn
Righting = move head to keep eyes on horizon. Eq = when COM shifts out of BOS (more sophisticated than righting)
Order of development in planes of motion
- Sagittal
- Frontal
- Transverse
Running - how many months after walking
6-7
Progression of stairs
up supported > down supported > up unsupp > down unsupp > up step-to supported > up step-to unsupp > down step-to unsupp
Jump vs hop vs leap
Jump - land on 2
Hop - land on same foot
Leap - land on opp foot
Gallop develops after ___ & before ___
after running (2yr) before hopping (3-4yr)
First asymm locomotor pattern
gallop
last locomotor pattern
skip
Ball throwing progression
fling > overhand > underhand > hit target
Ball kicking progression
contact w/ ball > kick forward > kick in air
Child physical activity recs by CDC
60min aerobic daily
Muscle/bone strength 3 days/wk
ankle postural sway
small perturbations
hip postural sway
large perturbations
step postural sway
perturbation too large to recover without taking a step
femoral inclination angle: normal, varus, valgus
Normal = 130 Valgus = 160 Varus = 105
femoral inclination at birth
slight valgus
Blounts disease
slow growth at medial knee = tibial varus
presentation: knees bow out, in-toe, abnorm gait
Osgood Schlatter
activity-related pain at patellar tdn
separation of tib tub
Legg Calve Perthes
abnorm blood supply to femoral head, avascular necrosis
presentation: musc weak, dec ROM, Trendelenberg
Slipped Capital Femoral Epiphysis
fem head displaced post/inf
presentation: antalgic gait, dec hip ROM
Scoliosis cobb angle
> 10deg
most common type of scoliosis:
a) infantile
b) juvenile
c) adolescent
adolescent
Ex rx for kids: reps & resistance
High rep
Moderate resistance
Kids dissipate ___ (more/less) heat?
more
Kids acclimate ____(faster/slower) to temp changes
slower
Kids have a greater dependence on
a) vasoconstriction
b) vasodilation
dilation
Kids sweat rate is ___ (higher/lower)
lower