Early Developmental Skills Flashcards by Jessica Deak

Prone: First on _____, then onto _____

Elbows

Hands

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Prone: Initially with elbows _____ ____ ___ with shoulders

Out of line

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Prone:
First changes in _____/_____ so WB with _____ _____

Then arms ______ so elbows are under ______

First, ___ ____ WS then shifts to ______ _____ ( __ months) so child can reach toward toy

On extended arms at ____ months

Flexion/extension
Wide BOS

Adduct, shoulders

Face side, skull side, 5 months

6 months

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Prone:
Pelvis _______
Pelvis lowers, followed by decreased _______
Last thing to change is _____

Elevated
Abduction
ER

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Prone:
Hands loosely _____ when in new position
Hands open with experience and improved _______

Fisted

Balance

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Prone:
At ___ months, rolls to supine
At ___ months, swimming
At ___ months, pivots

3
4
6

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Prone: Red Flags:

What are red flags at 3 months?

Dislikes prone

Unable to prop even wide BOS

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Prone: Red Flags: What are red flags at 5-6 months?

Irregular leg positions — Adduction, IR, extremely wide BOS

Poor WB on hands

Persistent WS to face side

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Prone: Red Flags: What are red flags at 6 months?

Unable to roll

Rolls with hyperextension

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Prone: Red Flags: What are red flags at 6-7 months?

No evidence of propulsion (lateral or forward)

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Supine: Hands to…
Body ( __ months)
Knee (__ months)

Feet to mouth (__ months)
Plays with feet in space (__ months)

3
4

5
6

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Supine: What is supposed to happen at 5 months between LE and UE

Dissociated LE and UE movements

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Supine: At 7 months, what occurs?

The baby rolls to PRONE!

Rarely stays in supine

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Supine: Red Flags: What are red flags that occur at 5 months?

Lack of antigravity flexion

Poor pelvic control

Poor dissociation between UE and LE

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Supine: Red Flags: What are red flags at 6 months?

Lack of LATERAL FLEXION

Inability to roll/rolls with hyperextension

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Sitting: Sitting with ____ BOS, propping _____, or sits with _____ _______, at (___ months)

_____ _____ if supported

Wide
Forward
Wide BOS
5 months

Head righting

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Sitting: What happens at 6 months?

Independent sitting!

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Sitting: At 6 months, ___ stabilizes

Will fall to the _____

Sides

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Sitting: What happens at 7 months?

Vaults forward to QP

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Sitting: When will the baby rotate to QP?

9 months

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Sitting: What happens at 8 months?

Variety of sitting positions

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Sitting: What happens at 9 months?

Functional position

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Sitting: When does the baby achieve a true long sit?

10 months

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Sitting: What happens at 11 months?

Bench sits

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Sitting: Red Flags: What are red flags at 5 months?

Inability to sit forward Scapular adduction/guarding position even when supported

Sitting: Red Flags: What are red flags at 6 months?

Inability to sit independently!

Sitting: Red Flags: What are red flags at 6-7 months?

See WS at RIB CAGE rather than PELVIS

Sitting: Red Flags: What are red flags at 9 months?

Lack of variety of positions No transitions in and out of sitting

Sitting: Red Flags: What are red flags at 10 months?

Inability to move out of W sit

Forward progression/QP: What age does the baby move into QP from prone?

7 months

Forward progression/QP: When the baby is in QP, what movements occur when it is rocking?

Wide BOS ER Abducted

Forward progression/QP: When does the baby belly crawl?

7 months

Forward progression/QP: What happens at 8 months?

CRAWLING! May be with ONE foot forward

Forward progression/QP: What is the baby’s primary mode of locomotion?

Crawling

Forward progression/QP: Red Flags: What are red flags at 7 months?

Persistence of anterior pelvic tilt Bunny hopping

Forward progression/QP: Red Flags: What are red flags at 11 months?

Abdominal sag Excessive lumbar lordosis in QP or crawling

Forward progression/QP: Red Flags: What are red flags at 12 months?

WIDE BOS

Pull to standing: Pushes from ___ ___ stiffly extended symmetrically This occurs at how many months?

UE LE 7

Pull to standing: What happens at 8 months?

Pull to stand through partial HALF kneel

Pull to standing: what happens at 10 months?

Rise to stand thru a squat

Pull to standing: What are the red flags for pull to standing? And what month is it considered a red flag?

Pulls to stand with stiff LE at 11 months

Kneeling: | What does kneeling look like at 8 months?

WIDE BOS Hip and knee FLEXION Dorsiflexion

Kneeling: | What does kneeling look like at 10 months?

Independent with slight hip flexion

Kneeling: What does kneeling look like at 11 months?

Synergistic Activity of HIP FLEXION AND EXTENSION

Kneeling: At 11 months, the foot relaxes into ___ position

Kneeling: What happens at 12 months?

Independent HALF kneeling | Hands free for play

Kneeling: What are red flags, and what month is it considered a red flag?

Excessive lordosis Continued ankle DF At 12 months

Standing mobility: What happens at 5 months?

Bouncing

Standing mobility: What happens at 6 months?

FWB Reaching if supported

Standing mobility: What happens at 7 months?

Standing at a surface

Standing mobility: At 7 months, there is a trade off between ___ and ____

UE and LE

Standing mobility: At 7 months, the baby is _______ and _____ _____ ____

Cruising Playing with toys

Standing mobility: Falls to ____

Sit

Standing mobility: What happens at 8 months?

Reaches for toy on floor

Standing mobility: What happens at 9 months?

Rotates — cruising faces forward

Standing mobility: What 2 things happen at 10 months?

1. Squatting and climbing | 2. Walks with ONE hand held (cruises around corners and open spaces)

Standing mobility: Beginning independent _____ and _____

Standing and steps

Standing mobility: What are red flags at 9 months?

Difficult unweighting foot to cruise Leaning on furniture

Standing mobility: What are red flags at 10 months

Unable to use hands when standing with external support

Standing mobility: What are red flags at 11 months?

Standing with stiff LEs

Standing mobility: What are red flags at 12 months?

Scap adduction when externally supported Still knees or on toes

Gait changes: ____-____ months average independent walking

11-15

Gait changes: at 11-15 months, BOS ____ after ___ months after independent walking

Decreases | 4.5

Gait changes: Temporal phasing occurs ____ months after independent walking

3-6

Gait changes: ____ months consistent heel strike, but can occur as early as ___ months

24 18

Gait changes: What age do you get reciprocal arm swing?

2.5 - 3 years

Gait changes: What age do you have a MATURE walking pattern?

4-5 years

Gait changes: EMGs mature pattern at what ages?

5-6 years

Differences between FULL term and PRETERM babies: What do you see in a full term baby at 4 weeks? Preterm baby?

Full: posture dominated by flexion Sitting with head in midline Pre: Posture dominated by extension Sitting with very rounded posture and forward head

Differences between FULL term and PRETERM babies: At 8 weeks?

Full: Prone suspension, head in line with body Preterm: Prone suspension, COMPLETE FLEXION

Differences between FULL term and PRETERM babies: At 6 months, prone position

Full term: weight on pelvis, lateral WS during reaching Pre: weight on lower rib cage, minimal head righting

Differences between FULL term and PRETERM babies: At 6 months, in supine

Full: reaches for feet secondary to abdominal and pelvic control Rolling with rotation Pre: No reaching for knees May roll with hyperextension of back

Differences between FULL term and PRETERM babies: At 6 months, in sitting position

Full term: arms free, beginning WS Preterm: Propped, back rounded, lack of weight shift

Differences between FULL term and PRETERM babies: at 6 months, in standing position

Full term: bears weight with wide BOS Grading flex/ext Preterm: minimal WB Often up on toes Stiffening of LE or extremely wide BOS

Differences between FULL term and PRETERM babies: At 9 months?

Full: crawls on ALL fours, trunk NEUTRAL Preterm: If crawling, with wide BOS, lordosis, shoulder elevation

Differences between FULL term and PRETERM babies: at 12 months?

Full: stands alone Walks at least with help, narrow base Transitions in and sitting with lateral WS Preterm: stands with supports Arms out to side, stiffening of LE, lordosis Difficulty with transitions secondary to poor lateral WS

Ambulation Potential: Predictors of ambulation/nonambulation?

Presence of primitive reflexes (ATNR*, STNR, Tonic lab*, Moro*, neck righting, positive supporting) -Obligatory

Ambulation Potential: Predictors or independent of assisted ambulation? ________ _________ by 2 years No children who sat after _____ years became ambulatory

Sitting independently 3

Ambulation Potential: Type of CP _______ have best prognosis, usually by 2.5 years ________ have good prognosis for independent or assisted ambulation, _______% will ambulation _________ have poor prognosis, ______% become ambulatory

Hemiplegia Diplegic, 86-90% Quadruplegic, 0-27%

Ambulation Potential: Intelligence In Downs, ___% become ambulatory In CP, only ____%

80% 10%

Ambulation Potential: For future independent ambulators, will ambulate by _____ months

Ambulation Potential: Only a few children achieve assisted ambulation after ____ years

Ambulation Potential: However, children with poor prognosis should undergo _____ _______ -They will get ______ experience, _______ _______, and _______ benefits

Ambulating training Upright, weight bearing, cardiovascular benefits

Ambulation Potential: Provides early modes of ______ _______

Independent mobility

Early Developmental Skills Flashcards

(84 cards)