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PT 641 Peds > Developmental Sequence & Stage of Development > Flashcards

Developmental Sequence & Stage of Development Flashcards

1
Q

period of physiologic flexion and limited ROM, movements are random and in either total flex or total ext

A

birth - 1 mo

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2
Q

Prone: physiologic flexion, head turn to one side, some head/neck ext, hands to mouth, UE flexed and adducted, LE flexed with elevated pelvis

A

birth - 1 mo

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3
Q

where is the center of gravity from birth - 1 mo in prone

A

forehead

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4
Q

supine: head turned to one side, little control of movements, some kicking in LE, hands fisted

A

birth - 1 mo

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5
Q

sitting: Need full head/trunk support, Fully rounded back, flexed neck, head bobbing, Pull to Sit: marked head lag

A

birth - 1 mo

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6
Q

upright: need full support, poor head control/bobbing

A

birth - 1 mo

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7
Q

positive support reaction and automatic stepping are seen at what age

A

birth - 1 mo

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8
Q

Decreased physiological flexion
Extension increases
Hypotonia
Decreased control of body overall

A

2 months

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9
Q

Prone:
UE used to increase ER and ABD, elbows behind shoulders
Hips ext, pelvis moves closer to supporting surface

A

2 months

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10
Q

where does the COG shift at 2 mo

A

moves caudally toward shoulders

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11
Q

at 2 mo, how much can an infant lift their head

A

~45 deg

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12
Q

infants head is rarely in midline at 2 mo due to what

A

asymmetric tonic reflex (ATNR)

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13
Q

at what age can infant begin to initiate some neck flexion with pull to sit, still has head bobbing

A

2 mo

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14
Q

Unable to support weight (primitive standing reflex lost)

A

2 mo

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15
Q

disorientation in standing, unable to stand upright

A

astasia

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16
Q

lack of stepping motion

A

abasia

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17
Q

at what age does abasia and astasia typically occur

A

2 mo

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18
Q

Fine Motor: Swiping motions with hands
Hands still slightly fisted, thumbs shoulder be out of palms
Involuntary release

A

2 mo

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19
Q

Oral Motor: Increased vowel sounds, cooing, cry differentiation, localizes to sounds, socially smiles

A

2 mo

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20
Q

Gaining more symmetry
Control of neck muscles
Flexion control against gravity emerging
Head with midline orientation for longer periods
Increased awareness of surroundings

A

3 mo

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21
Q

how much neck ext is typically seen at 3 mo with head turning in prone

A

90 deg

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22
Q

at what age does prone prop begin along with weight shifts

A

3 mo

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23
Q

Prone:
LE: pelvis on surface, wide base, frog legged
May show signs of inconsistent rolling

A

3 mo

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24
Q

Supine:
UE brought to midline on chest
Hand to hand contact/play
LE: can hold soles of feet together/frog leg
Beginning to lift legs off support surfaces (knees to chest)

A

3 mo

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25
Sitting: Increased flex with pull to sit Trunk leans forward, head starting to show improved control Need full support
3 mo
26
Fine Motor: Hands together in supine Hands held loosely fisted Starting to attend to objects
3 mo
27
Oral Motor: Responds to angry/harsh tones with crying Responds to pleasant sounds with cooing Laughs
3 mo
28
Symmetry strengthens Increased control over extensors and flexors Improved head control in all positions Purposeful movements emerge
4 mo
29
Supine: Increased balance, use of flexors/extensors Midline of hands, now anti-gravity Reaching for knees Increased activity with hip and knee flexion Improved abdominal control, decreased hip abduction May start to roll to side
4 mo
30
Prone: Equilibrium reactions emerge Start to bear weight on hands with ext at elbows Weight shifting Pivot prone Rolling consistently
5 mo
31
Supine: Feet to mouth Increased weight shifting Prep for rolling to side and prone
5 mo
32
at what age do babies begin to engage abs and start pulling slightly with their arms during pull to sit
5 mo
33
at what age do babies begin to ring sit and may begin to prop sit
5 mo
34
Upright: Can almost take all their weight, but only with hand held or trunk support
5 mo
35
Fine motor: Drops objects spontaneously Reaches up to familiar people Can retain a small object in each hand
5 mo
36
Oral Motor: Responds with smiling and laughing Babbling Vocal expression of eagerness/happiness and displeasure
5 mo
37
in prone, begin reaching on extended arms and swimming
6 mo
38
supine: Begins to lift head from support surface Rolls supine to prone Preparing for sitting
6 mo
39
Sitting: Tucks head/chin with pull to sit Arms free to play, may not need them for support Reaching within BOS, some outside of base
6 mo
40
Upright: Accepts full weight May bounce with hands held
6 mo
41
Fine Motor: Radial palmar grasp Rakes for tiny objects Bangs objects on surfaces Transfers objects from hand to hand
6 mo
42
Oral Motor: Increased awareness of environment Constant sounds (b, d, m) Repetitive babbling
6 mo
43
at what age does commando crawling emerge
7 mo
44
Prone: Moving toward attaining quadruped, abdomen off floor May start rocking on hands and knees Early transitions sitting to quadruped or prone
7 mo
45
Sitting: Transitions from quadruped into sitting Trunk rotation emerging More smooth transitions to quadruped or prone
7 mo
46
Upright: Starting to pull self to stand at surfaces (all or nothing pattern) Falls into sitting (lacks control)
7 mo
47
Fine Motor: Drops one object when reaching for another Releases objects from hands Raking with fingers to pick up small objects
7 mo
48
at what age does creeping begin
8 mo
49
Upright: Pulls to stand, more mature pattern (kneeling to ½ kneeling) Starts to cruise laterally holding onto support surface May be able to use abdominal support on surface to free hands to play With hands held, stepping gait pattern
8 mo
50
Fine Motor: May drop, throw a toy, push/pull Clumsy release Can bang two blocks together in midline
8 mo
51
Oral Motor: Starts to understand “no” Should respond to own name
8 mo
52
Sitting: Very functional position for babies to play and interact in Solid sitters Can reach well out of BOS and return to upright Transition to quadruped for creeping Heel sitting, ring/circle sitting, long sitting, side sitting, W sitting
9 mo
53
Upright: Pulling to stand on anything and everything Cruising, now between support surfaces Can do 2 handed walking, slightly more narrow BOS
9 mo
54
Fine Motor: Pokes/points with index finger Emerging pincer grasp Takes objects out of containers
9 mo
55
Oral Motor: “Bye-bye” Mimics words/sounds from others
9 mo
56
Can sit/stabilize and use UE for more function (eg. self feeding) Can lower self with more control from standing to sitting With hands held, takes longer strides for assisted walking May use push toy for early ambulation practice
10 mo
57
Fine Motor: Places toys between thumb and two fingers Finger to thumb opposition Controlled release into large container
10 mo
58
Oral Motor: Shakes head “yes” and “no” Starts with first words
10 mo
59
See more varied leg positions (ex: side sitting) More controlled trunk rotation Using ½ kneeling and kneeling more
11 mo
60
Standing: Stand to squat to recover toy Stands alone, no hands with wide BOS Independent standing may be with “high guard” position of UE
11 mo
61
Oral Motor: Self feeding Follows simple instructions May attempt to name objects
11 mo
62
Fine Motor: Uses both hands freely, may start to show preference Puts objects into container
11 mo
63
Stand from floor from quadruped without support surface Bear standing Independent standing Weight shifting First steps with high guard position Moves into/out of squat position
12 mo
64
Fine Motor: Holds crayon (palm) and marks paper Supination emerges Attempts to stack items (blocks) Rolls a ball Starts to use spoon for self-feeding
12 mo
65
Oral Motor: 5-6 words Repeats sounds Jargon/baby speak Gestures to get needs known
12 mo
66
Fine Motor: Marks a paper with crayon Builds a 2 cube tower
12-15 mo
67
Gross Motor: Walking without support, starting to walk faster Walks sideways Creeping up stairs
12-15 mo
68
Fine Motor: Strings beads Stacks cubes Imitates vertical and horizontal strokes with crayon on paper Holds crayon with thumb/fingers
16-24 mo
69
Gross Motor: Squats to play Walks backwards Walking upstairs/downstairs (2 feet each step) Kicks stationary ball Throws a ball
16-24 mo
70
Fine Motor: Open/closes jar Turns a knob Pushes large buttons 12-15 piece puzzles
2 yrs
71
Gross Motor: Rides tricycle Walks on tiptoes Runs Alternates feet coming down stairs Hops on one foot
2 yrs
72
Fine Motor: Controls crayon Copies circle/cross Cuts with scissors Draws human figure with head and 2 extremities
3-4 yrs
73
Gross Motor: Throw a ball 10 feet Walk a line Hop 2-10x on one foot Jump forward 24 inches Jump over obstacle (12 inches) Runs fast Throws/catches small ball
3-4 yrs
74
Fine Motor: Hand preference Prints well Able to do all buttons/zippers
5-8 yrs
75
Gross Motor: Skips, gallops, jumps rope Kicks moving ball with control
5-8 yrs

PT 641 Peds (16 decks)

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