Additional deck :) Flashcards
(130 cards)
1
Q
When does the primary standing reflex integrate?
A
1-2 months
2
Q
When does the automatic walking reflex integrate
A
3-4 months
(reappears 10-15 months)
3
Q
When does the rooting reflex AND the sucking reflex integrate?
A
3 months
4
Q
When does the suck-swallow reflex integrate?
A
5 months
5
Q
When does the moro reflex integrate?
A
3-5 months
6
Q
When does ATNR integrate?
A
4-5 months
7
Q
When does the palmar grasp reflex integrate?
A
4-7 months
8
Q
When does the TLR reflex integrate?
neck flexed -> increased flexion throughout
neck extended -> increased extension throughout
A
6 months
9
Q
When does the STNR integrate?
A
8-12 months
10
Q
With STNR, when head flexes what happens:
When head extends what happens?
A
head flexes -> arms flex and hips extend
Head extends -> arms extend and hip flexes
11
Q
When does the plantar grasp reflex integrate?
A
9 months
12
Q
When does the galant reflex integrate?
A
3-6 months,
it should disappear by 9 months and if not it will result in fidgeting and inability to sit still
13
Q
When should a baby be able to momentarily lift head in prone?
A
1 month
14
Q
When should a baby be able to have reciprocal and symmetric kicking in supine?
A
1 month
15
Q
When can a baby lift their head to 45 degrees in prone
A
2 months
16
Q
When can a baby bear weight on elbows in prone?
A
2 months
17
Q
when can a baby lift head to 90 degrees in prone?
A
3 months
18
Q
When does a baby get midline orientation
A
3 months
19
Q
When is “head righting” strongest in a baby
A
3 months
20
Q
When does a baby get scapular adduction with trunk extension in prone with head and chest lifted
A
4 months
21
Q
When does a baby have no headlag with pull to sit
A
4 months
22
Q
When can a baby bring their hands to their feet in supine?
A
5 months
23
Q
When can a baby hold head in lateral flexion away from floor in sidelying
A
5 months
24
Q
When does the landau reflex emerge and integrate?
A
3-5 months (around the time babies have strong extension)
12 months
25
When does a baby have mature swimming in prone?
6 months
26
When does a baby have a chin tuck in supine
6 months
27
When can a baby use their UE to reach and manipulate objects in sitting
6 months
28
When does anterior and lateral protective extension emerge
6-9 months
29
When can a baby stand holding just fingers
6 months
30
When does a baby not like to be in supine
7 months
31
When does a baby have trunk rotation in sitting
7 months
32
When does a baby have the upper extremity parachute reflex
6-7 months
33
When can a baby W sit
9 months
34
When does a baby get posterior protective extension
9-11 months
35
When does a baby get anterior righting?
9 months
36
When can a baby walk with 2 hands held?
9 months
37
When can a baby stand alone and use limited UE
11 months
38
When can a baby lower themselves from standing and reach for a toy with one hand in standing
10 months
39
When does a baby have steppage gait with external rotation
11 months
40
When might a baby use squatting for play
12 months
41
When can a toddler ride a tricycle
2 years
42
when can a child walk up and down stairs with alternating feet
3 years
43
When can a child hop on one foot
3 years
44
When does a child have a tripod static grasp
3.5 years
45
When can a child kick a ball
3.5 years
46
When can a child gallop?
4
47
When does a child get a dynamic tripod grasp (mature grasp)
5
48
When can a child throw a ball at a target 10 feet away
5
49
When can a child skip?
6
50
When does a child have a mature gait pattern?
7
51
When does a child jump rope?
8
52
What is the erickson stage for infancy 0-1
trust vs mistrust
resolution: hope
53
what is the erickson stage for early childhood 1-3
autonomy vs shame
resolution: will
54
what is the erickson stage for play age 3-6
initiative vs guilt
resolution: purpose
55
what is the erickson stage for adolescence 12-19
Identity vs Confusion
Resolution: Fidelity
56
What is the erickson stage for school age 6-12
industry vs inferiority
resolution: competence
57
what is the erickson stage for early adulthood 20-25
Itimacy vs Isolation
Resolution: love
58
What is the main occupation of a child
play
59
What are the advantages of the ICF model
Captures growth and development of disability
Identifies wide variety of levels of functioning of children with same diagnosis
ICF focuses on life
recognizes disability and development as a parallel process
60
What are the 4 elements of Evidence based practice
Awareness
Consultation
Judgement
Creativity
61
The plan of care specifies the ___________ and their _____________
intervention and the timing and frequency
62
First trimester is how long?
second?
third?
week 1-12
week 13-26
week 27-40
63
Babies vision prefers ___________
strong contrasts
64
Primitive reflexes that aren't integrated are related to cognitive challenges such as _______________
ADHD
65
What reflexes integrate at 1-2 months
Flexor withdrawal
Crossed extension
Positive support
66
how long should a child bear weight with the primary standing reflex
20-30 seconds
67
What stimulus ilicits the automatic walking reflex
incline the baby forward in WB
68
How do you ilicit the rooting reflex
stroke the babies cheek
69
What is the stimulus to activate the Moro reflex
sudden change in head position (extension) in relation to trunk
70
What are the 2 parts of the moro reflex
first: flexion, abduction, and elbow extension
then: extension, adduction, and flexion of elbows
71
What can a weak palmar grasp reflex imply
potential peripheral nerve involvement
72
What is the stimulus to activate the plantar grasp reflex
pressure to sole of the foot just distal to the metatarsal heads
73
Should a 2 month old bear weight w/ the primary standing reflex
No
74
At what month will a baby have their pelvis flat on the floor in prone?
3 months
75
at what month does a baby begin to have neckflexor activity and a chin tuck in supine
3 months
76
At what age does a child develop a true consistent flight phase in running
when do they develop initial running?
3 years
2 years
77
At what age does a child start with initial hopping?
At what age does a child hop forward on either foot or without assistance 10 feet
age 3
age 4.5 to 5.5
78
at what age can a child jump off the bottom step or jump in place
2 years old
79
at what age can a child jump over a 2 inch object
3 years old
80
at what age can a child jump forward 2 feet, with feet together
4 years old
81
at what age does a child reach for an object with open hand in supine
at what age can a child transfer objects from hand to hand in supine
4-6 months
5-7 months
82
at what age does a child rake tiny objects with their hands
7 months
83
Norm referenced vs criterion referenced
norm referenced: comparison between specific child and typical child of the same age
criterion referenced: comparison to specific criteria rather than comparison to normal group
84
what is norm referenced criteria best for
to assess whether a child has a motor delay and determine ELIGIBILITY for early intervention
85
what is criterion-referenced criteria best for
to evaluate the effects of an intervention, treatment planning, and goal writing
86
Peabody, AIMS, and PEDI are all __________ referenced tests
Norm referenced
87
The sensory profile, and HELP (hawaii early learning profile) is a _________ referenced test
criterion referenced
88
Reliability vs Validity
reliability- consistency of test results
validity- accuracy of test results
89
The AIMS is an example of a _____________
a. Screening
b. Evaluation
c. Assessment
Screening, to identify risk for dysfunction in specific category of children
90
The GMFM (Gross motor function measure) is an example of a _____________
a. Screening
b. Evaluation
c. Assessment
evaluation, to help team determine diagnosis or identify atypical development, or determine eligibility for services
91
The hawaii early learning profile (HELP) is an example of a _____________
a. Screening
b. Evaluation
c. Assessment
Assessment, to plan intervention program, assess strengths and weaknesses and needs across domains.
92
The Hawaii Early Learning profile is an assessment that is valid for what ages?
What information does it give you?
0-3 and 3-6
Provides estimated age of development
93
What are the 6 domains of the HELP
Gross motor
fine motor
cognitive
language
social-emotional
self-help
94
at what age does a child lean forward when jumping from a height
4.5
95
how long can kinesiotape stay on skin?
3-5 days
96
ACSM recommendations for school age children
60 minutes a day of vigorous aerobic activity
3x a week of muscle strengthening
3x a week of bone strengthening
97
what is considered mild CMT?
Moderate CMT?
Severe CMT?
Mild- under 15 degree restriction
moderate: between 15-30 degree restriction
severe: over 30 OR if infant is between 7 to 12 months with over 15 degree restriction
98
Best treatment positioning for elongation of weightbearing side?
sidelying
99
T or F: Neuromuscular impairments have MANY approaches or intervention strategies that can be implemented
T
100
EBP integrates what 3 things
Best research
Therapist clinical expertise
Circumstances of patient and family
101
102
When does examination start?
Prior to the child arriving during initial chart review
103
A pattern of immature movement is lack of _____ plane movement
Transverse plane
104
What is the MINIMUM age for MMTs (not 8)
Not before 5, but 8 recommended
105
When can we start using weight shifts on a ball/lap to treat torticollis?
Month 3/4
106
Plagiocephaly vs bradycephaly
Plagiocephaly - flattening on the side of the head
Bradycephaly - flattening on the back of the head
107
We should monitor children in a pavlik harness for what potential complications
Posterior dislocation
Femoral nerve palsy
Avascular Necrosis
108
T or F: Spica casting for DDH can be casted to allow for weightbearing and ambulating
T
109
How will mild DDH present
Often undetectable early, but pt might end up limping or with hip pain in late teens
Some adults who need hip replacements end up having undetected DDH
110
111
What is the ICF model for children called
ICF CY
ICF children and youth
112
Examination vs evaluation
Examination: history, systems review, tests and measures
For gathering data
Evaluation: therapist makes clinical judgement based on examination
113
Diagnosis vs prognosis
Diagnosis- organizing exam data into defined syndromes or clusters
Prognosis - includes the plan of care, the expected improvement and the time it will take to achieve
114
Outcome measures and goals in pediatrics must focus on….
Need to be meaningful to child and family, and focus on quality of life
115
When does a child use words rather than gestures, and has 15 meaningful words.
12-18 months
116
When does a child use multiword utterances to express thoughts and can use words to protest
18-35 months
117
at what age can a child copy a circle, snip with scissors, and string one inch beads
2.5
118
at what age does a child speak in complete sentences and show interest in how things work, tells simple stories
3-5 years
119
at what age can a child give you their age, create questions, and match and name 4 colors
4 years old
120
at what age can a child count up to 20
5
121
at what age does object permanence develop
18-35 months
122
T or F: in the first year there is low variability between infant development and deviations are easy to note
F
123
A __________ is the vehicle to greater functional independence for children with disorders
well developed plan of care
124
What does the hierarchical theory state about motor control
That primitive reflexes are thought to be suppressed with the development of higher control
125
What is conductive education
Holistic approach to educate children with neurological dysfunction, not specifically designed for therapy
126
what are the 4 stages of developmental motor control from the Sensorimotor approach
Reciprocal innervation
co-contraction
stability superimposed on mobility
mobility superimposed on stability
127
128
What time in the day should a child wear the tot collar for CMT
They should wear it at play time and when in highchair
Do not use at night or in car seat
129
How long should an infant be screened for CMT after it is resolved
Until initiation of walking
130
