17. Case History and Primitive Reflexes Flashcards Preview

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Flashcards in 17. Case History and Primitive Reflexes Deck (36):
1

When does gross motor development occur?

First 12 months of life - at the same time as visual development

2

Gross motor development is directly related to what?

Visual skills development

3

What are the 5 things you need to find out for developmental history?

Age they sat up
Age they crawled
Age they walked
Age of first words

4

What are some reasons that kids will miss developmental milestones?

Too much modern baby equipment
Less tummy time
Different sensory experiences for premature babies
Orphanages

5

What are the predictors of motor, visual and/or developmental delays during pregnancy?

Viral infection
Alcohol/drug abuse
Accident or infection
HTN
Smoking
Severe stress

6

What are the predictors of motor, visual and/or developmental delays at birth?

Prolonged labor
Forceps extraction
Cesarean
Fetal distress
Prematurity

7

What are the predictors of motor, visual and/or developmental delays as a newborn?

Low weight
Incubation
Problems feeding

8

What are the predictors of motor, visual, and/or developmental delays in infancy?

Absence of crawling
Late learning to walk
Late learning to talk

9

What are the predictors of motor, visual, and/or developmental delays in childhood?

Motion sickness
Difficulty riding a bike
Difficulty reading/writing
Difficulty telling time
Poor eye-hand coordination

10

At what score do you expect a binocular dysfunction with the COVD quality of life checklist?

Greater than 20

11

For kids, a score greater than ___ on the CISS is likely for CI.

16

12

For adults, a score greater than __ on the CISS is likely for CI.

21

13

What are the 5 stages of gross motor development?

Whole body flexion/extension
Separation of head from body
Separation of top from bottom
Separation of right from left sides
Crossing the midline

14

When does the Moro reflex emerge?

9-12 weeks in utero

15

When should the Moro reflex be inhibited?

2-4 months of age

16

What triggers the Moro reflex?

Any unexpected occurrence

17

What is the response of the Moro reflex?

Startle/freeze - fight or flight

18

What are some problems that may arise if the Moro reflex is retained?

Vestibular problems
Poor oculomotor and perception
Poor pupil reaction to light
Hypersensitivity to sounds

19

How is the Moro Reflex assessed?

Duck and pigeon walk

20

What exercises are done for the Moro reflex?

Starfish
Seal and Otter
1/2 body roll
Full body roll
Duck and pigeon with stick
Bear walk

21

When does the Tonic Labryinthine Reflex (TLR) emerge?

When head enters birth canal

22

When is the TLR inhibited?

Gradually from 6 weeks to 3 years

23

What problems arise is the TLR is retained?

Head movement alters muscle tone - poor balance
Difficulty judging space, distance, depth, and velocity
Impedes development of head righting reflexes
Vestibulo-ocular reflex arc impaired
Lack of "creeping" on hands and knees

24

How do you test for TLR?

Patient raises both legs, both arms, and head simultaneously - if they leave body parts on the floor, can't hold the pose, or can't answer basic questions indicates poorly integrated TLR

25

What activities are suggested to integrate TLR?

Same as Moro (seal/otter, body rolls, etc)

26

When does the Spinal Galant Reflex emerge?

20 weeks in utero

27

When should the Spinal galant reflex be inhibited?

3-9 months of life

28

What does a retained Spinal Galant Reflex cause?

Fidgety child - hip flexion toward side of the stimulus

29

What behaviors may indicate a retained Spinal Galant Reflex?

Elastic waistband causing fidgeting
Bedwetting past 5 years old
Poor concentration
Poor short term memory
Hip rotation to one side when walking

30

How do you test for Spinal Galant Reflex?

With pt on hands and knees, stroke down lower back with pencil - watch for movement

31

What exercises are done for Spinal Galant Integration?

Hip twists
Angels in the snow
Lizard Crawl

32

When does the Asymmetric Tonic Neck reflex emerge?

18 weeks in utero

33

When should the Asymmetric Tonic Neck reflex be inhibited?

6 months of age

34

What does the Asymmetric Tonic Neck Reflex look like?

Movement of baby's head to one side causes the same side arm to extend and the opposite knee to flex

35

What is the score from the COVD quality of life survey that will likely indicate a reason for referral for VEE?

Greater than 25

36

After what age are Primitive Reflexes considered aberrant?

After 12 months