Exam 2 Unit 4 Flashcards

1
Q

How do the muscles function for infants

A

Pull, not push

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2
Q

Order of antigravity-movement development:

A

1) Antigravity Extension (working against gravity, working muscles) before antigravity Flexion
2) Cephalo-caudal (head TO tail control develops before UE & LE control)…
3) Movement develops proximal to distal (in & out burger style)
4) Gross motor develops before fine motor (kind of like you attractions)

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3
Q

What is the first reflex babies possess?

A

Tonic Labyrinthine Reflex–Physiological Flexion
• Present at birth
• Importance of midline (holding food)
• Integrated between 3 & 4 years.
• Whole-body moves in unison with the head: as head flexes, arms & legs flex; as head extends, arms & legs extend.

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4
Q

Order of movement in relation to Planes

A

1) Sagittal Plane (front-to-back). E.g., Flex & extend trunk, neck, shoulders. Reaching for things directly in front.
2) Frontal Plane (side-to-side). E.g., Abduct shoulders & hips, laterally flex trunk. Reaching for things at side.
3) Transverse Plane (Rotation). E.g., Rotate head & trunk. Crossing midline.

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5
Q

Stages of Motor Control development

A

1) Mobility (move-ability)
• Flexion & extension.
• Elongation of the body.
- Elongation MUST occur before activation; if baby is in a flexed position, muscles must first extend to flex & be activated (triceps are already elongated).

2) Stability (stay-ability)
• Co-contraction; antagonist/agonist contraction of flexors & extensors. Standing–both hamstrings & quads work together.

3) Controlled Mobility
• Able to shift posture/weight.

4) Skill
• Combination of above stages. E.g., able to shift weight over right leg, reaching in front to catch a ball.

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6
Q

Positional/Postural progression of development

A

1) Prone
2) Supine
3) Sidelying
4) Sitting
5) Quadruped
6) Kneeling
7) Standing

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7
Q

Define External vs. Internal Stability

A
  • External Stability: Stability coming from an outside source that doesn’t require input from musculature (e.g., back of chair, infant in walker).
  • Internal Stability: Stabilit from within (e.g., core muscles)
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8
Q

What are Righting Reactions? Developmental Process & Significance?

A

Reaction that acts to keep you upright; your head or your trunk–when you get pushed (automatic).

  • Develop at birth in response to gravity (begins when gravity is introduced).
  • Present throughout life.
  • Alignment of head & trunk, or alignment between body segments.
  • Most noticeable around 10-12 months.

Significance: RR underlies movement that transitions from lying to upright, & turning in relationship to gravity & space.

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9
Q

Equilibrium Reactions

A

Shift in Base of Support/COG
• When you start to lose balance, your legs automatically catch you/adjust.

  • Begins as infant moves from horizontal to vertical.
  • Specific to each event.
  • 6 months throughout life.
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10
Q

What causes Equilibrium Reactions?

A
  • An internal change of movement, e.g., shifting weight from one leg to another while climbing stairs.
  • External change or movement of support, e.g., rollater rolls out from under you.
  • Outside force on body, such as when a football player is hit & adjusts, staying vertical.

• Proactive reflex & Righting reflex.
Another e.g., riding on the tram: slows down, plan foot in front of you, catching your balance.

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11
Q

Sort: –Righting Reaction–Equilibrium Reaction–

• Shifts the center of weight
• Brings the head upright or
vertical orientation in space
• Usually increases the base of
support
• Birth throughout life
• Alignment of head and trunk
or between body segments
Equilibrium Reactions
• Most distinguishable at 10-12
months of age
• Six months throughout
lifetime
• Begins when gravity is
introduced
• Event-specific and unique to
EACH situation
• Begins as infant begins to
move from horizontal to
vertical
A
Righting Reactions: 
• Birth throughout life
• Begins when gravity is
introduced
• Most distinguishable at 10-12
months of age
• Brings the head upright or
vertical orientation in space
• Alignment of head and trunk
or between body segments
Equilibrium Reactions: 
• Six months throughout
lifetime
• Event-specific and unique to
EACH situation
• Usually increases the base of
support
• Begins as infant begins to
move from horizontal to
vertical
• Shifts the center of weight
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12
Q

Protective Reactions

A
  • Used to prevent injury if Equilibrium Reactions are unable to restore balance.
  • Front PR is 1st to develop, then Side, last is Backwards. Similar to Plane development…
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13
Q

Optical Righting Reflex

A

As your head moves, eyes stay fixed on object of interest.

  • Vestibulo-ocular reflex causes the eye movement.
  • Requires frequent and varied experiences to mature.
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14
Q

Characteristics of Early Walking

A
  • Wide Gait (increased BOS helps ability to keep balanced).
  • Arms in high “guard.”
  • Feet positioned with toes out.
  • Steps are clumsy & require much attention.
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15
Q

Stages of Crawling

A
  • Crawling with chest & belly on floor.
  • Low creeping with belly Off of floor.
  • Rocking back and forth on hands and knees.
  • Creeping forward on hands and knees with arms/legs alternating.
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16
Q

Stages of Rolling

A
  • Prone to Supine.
  • Supine to Side-lying.
  • Prone to Side Lying.
  • Supine to Prone.
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17
Q
When in development will baby be able to:
Gross inaccurate reach.
• 1-3 Months.
• 3-4 Months.
• 3-6 Months.
• 6-9 Months.
A

Baby will be able to Gross inaccurate reach at 1-3 months, along with swiping at objects while in supine.

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18
Q
At what age can we expect babies to develop the ability to reach indirectly with one hand?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

One-handed indirect reach develops at 3-4 months.

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19
Q
When can we expect babies to be able to reach toward midline, use two hands in supine, & sit?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

Babies will be able to reach toward midline, able to use two hands in supine, then be able to sit at 3-6 months.

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20
Q
When will babies be able to actively decide whether to reach with one hand or two?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

Babies can reach with EITHER one or two hands at 6-9 months.

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21
Q
When will babies reaching accuracy noticeably increase?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

6-9 months.

22
Q
When will babies be able to reach in all directions?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

6-9 months.

23
Q
When will babies be able to carry objects through space?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

6-9 months.

24
Q
When will babies be able to reach smoothly & efficiently?
• 1-3 months.
• 3-4 months.
• 3-6 months.
• 6-9 months.
A

6-9 months.

25
``` When will the Ulnar-Palmar grasp develop? What is the Ulnar-Palmar grasp? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Hold items with fingers on the ulnar side of the palm, squeezing with fingers–thumb not involved. • 3-5 months.
26
``` When will the Palmar grasp develop? What is the Palmar grasp? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Hold object in center of the palm, continues to grasp object with fingers only–cannot move object within hand. • 3-5 months.
27
``` When will the Accidental release develop? What is it? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Release involuntarily in association with other movements. • 5-6 months.
28
``` When will the Radial Palmar grasp develop? What is it? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Hold object on the radial side of the palm; thumb not involved. • 5-6 months.
29
``` Fingers sweep the surface to grasp an object; the object ends up trapped between fingers–thumb not involved. Who dis? When does it develop? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Raking grasp. • 5-6 months.
30
``` When will the Lateral Pinch/Scissor Grasp develop? What is it? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Thumb holds object against lateral boarder of index finger. • 6-8 months.
31
``` When will a baby be able to move an object from one hand to the other? What is this grasp called? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
The "Transfers." • 6-8 months.
32
``` When will the baby be able to hold an object with the thumb against base of all 4 fingers (not the palm). What is this grasp called? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Radial-Digital grasp. • 7 Months.
33
``` When will babies be able to grasp an object with their thumb, index, & middle finger? What is this gasp called? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Three-Jaw-Chuck. • 7 Months.
34
Baby grabs an object using just their thumb & middle finger, holding it against the middle of their finger. What grasp is this and when will it develop?
Inferior Pincer: 9-10 months.
35
``` When will baby be able to throw food in your general direction? What is this gasp called? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Active Release: 9-10 months (cannot accurately place object).
36
``` Inferior vs. Superior vs. Neet Pincer: What are they and when will they develop? • 3-5 Months. • 5-6 Months. • 6-8 Months. • 7 Months. • 9-10 Months. • 10-12 Months. • 12 Months. • 15 Months. • 18 Months-2 Years. ```
Inferior Pincer: Thumb to middle of middle-finger grasp–9-10 months. Superior Pincer: Thumb to index, tip-to-tip. 10-12 months. Neat Pincer: Thumb to index, pad to pad. 10-12 months.
37
What grasps are necessary for a child to be able to stack blocks?
Three-Jaw-Chuck & Precise release.
38
What gasp does a baby need to be able to pick up their fork and drop it on the plate?
Neat Pincer & Graded Release (able to drop object within a larger container, not accurately.
39
What gasp will a child need to use a toothbrush?
Tool use (maybe power grip, too? Dale, no power tools)
40
``` At what age will a baby be able to manipulate an object with fingers? • < 6 months. • 6-12 months. • 12 months-3 years. • > 3 years. ```
6-12 months.
41
``` At what age will baby be able to move an object between two hands, noticing the difference in shapes. • < 6 months. • 6-12 months. • 12 months-3 years. • > 3 years. ```
12 months-3 years.
42
``` At what age will child begin in-hand manipulation of objects? • < 6 months. • 6-12 months. • 12 months-3 years. • > 3 years. ```
Before 3 years.
43
``` At what age will baby be able to do the Superman? • 0-2 months. • 3-5 months. • 6-8 months. • 9-11 months. • 12 months. • 18 months. • 2 years. • 3 years. • 4 years. • 5 years. • 6 years. ```
3-5 months.
44
``` At what age will baby be able to utilize Protective Reflexes of UEs? • 0-2 months. • 3-5 months. • 6-8 months. • 9-11 months. • 12 months. • 18 months. • 2 years. • 3 years. • 4 years. • 5 years. • 6 years. ```
6-8 months.
45
``` At what age can baby sit independently & play with a toy? • 0-2 months. • 3-5 months. • 6-8 months. • 9-11 months. • 12 months. • 18 months. • 2 years. • 3 years. • 4 years. • 5 years. • 6 years. ```
9-11 months.
46
``` At what age will baby be able to transition into different positions: sitting, quadruped, lying on tummy? • 0-2 months. • 3-5 months. • 6-8 months. • 9-11 months. • 12 months. • 18 months. • 2 years. • 3 years. • 4 years. • 5 years. • 6 years. ```
12 Months.
47
``` At what age will a baby be able to sit, crawl, walk? • 0-2 months. • 3-5 months. • 6-8 months. • 9-11 months. • 12 months. • 18 months. • 2 years. • 3 years. • 4 years. • 5 years. • 6 years. ```
18 months.
48
``` At what age will child be able to walk smoothly & turn corners as well as simple athletics (kick ball, throw underhand, jump 4") • 0-2 months. • 3-5 months. • 6-8 months. • 9-11 months. • 12 months. • 18 months. • 2 years. • 3 years. • 4 years. • 5 years. • 6 years. ```
2 years.
49
``` At what age will a child begin to display Dynamic Grasping Patterns? • < 6 months. • 6-12 months. • 12 months-3 years. • > 3 years. ```
• > 3 years.
50
What are the 4 stages of Fine Motor Skill Building?
1) Swiping. 2) Active Reach (begins with one-hand, progresses to bilateral). 3) Bilateral Coordination (first pattern to emerge is hand-to-hand play). 4) Release (uses avoidance pattern).