Peds_Comp_Exam Flashcards
(54 cards)
1
Q
Physiologic Flexion
A
Birth
2
Q
Turns head to side in prone
A
Birth
3
Q
Attempts to lift head in midline
A
1 month
4
Q
Automatic stepping
A
Birth
5
Q
Fencer’s posture
A
2 months
6
Q
Rolling: supine to sidelying - nonsegmentally
A
3 months
7
Q
Beginning midline head control
A
3 months
8
Q
Prone on elbows, head to 90 degrees, chin tuck
A
4 months
9
Q
Hands to midline
A
4 months
10
Q
Unilateral reaching - prone on elbows
A
5 months
11
Q
Prone on extended arms
A
5 months
12
Q
Pivot prone posture
A
5 months
13
Q
Beginning intra-axial rotation
A
5 months
14
Q
Rolling prone to supine - segmentally
A
5 months
15
Q
Head lifting in supine
A
5 months
16
Q
Supine, hands to knees feet; Supine hands to feet; Supine feet to mouth
A
5 months
17
Q
Propped sitting
A
5 months
18
Q
Supine bridging
A
5 months
19
Q
Rolling supine to prone - segmentally
A
6 months
20
Q
Ring sitting, unsupported with full extension and high guard
A
6 months
21
Q
Transferring objects hand to hand
A
6 months
22
Q
Independent sitting with secondary curves
A
8 months
23
Q
Beginning quadruped
A
8 months
24
Q
Creeping
A
10 months
25
Plantigrade posture
10 months
26
Beginning pull to standing
8 months
27
Plantigrade creeping
10 months
28
Pulls to standing and lowers self
10 months
29
Cruising
10 months
30
Pulls to standing through half kneeling
12 months; (10-13 months)
31
Walking independently
12 months; (10-15 months)
32
Creeps up stairs
15 months; (14-18 months)
33
Walks up stairs with help of handrail
18 months; (16-20 months)
34
Abnormal Integration of this reflex interferes with: - Feeding - Visual Tracking - Midline use of hands - Rolling - Development of crawling - Can lead to skeletal deformities (scoliosis, hip subluxation, hip dislocation).
Asymmetrical Tonic Neck Reflex
35
Abnormal Integration of this reflex interferes with: - Ability to prop on arms in prone - Attaining and maintaining hands and knees position - Crawling reciprocally - Sitting balance when looking around Use of hands when looking at object in hands in sitting position
Symmetric Tonic Neck Reflex
36
Abnormal Integration of this reflex interferes with: - Ability to initiate rolling - Ability to prop on elbows with extended hips in prone - Ability to flex trunk and hips to come to sitting position from supine position - Often causes full body extension which interferes with balance in sitting or standing
Tonic Labyrinthine Reflex
37
Abnormal Integration of this reflex interferes with: - Development of Balance - Can lead to scoliosis
Galant Reflex
38
Abnormal Integration of this reflex interferes with: - Ability to grasp and release objects voluntarily - Weight bearing on open hand for propping, crawling, protective responses.
Plantar Grasp Reflex
39
Abnormal Integration of this reflex interferes with: - Ability to stand with feet flat on surface - Balance reactions and weight shifting in standing
Plantar Grasp Reflex
40
Abnormal Integration of this reflex interferes with: - Oral motor development - Development of midline control of the head - Optical righting, visual tracking, social interaction
Rooting reflex
41
Abnormal Integration of this reflex interferes with: - Balance reactions in sitting - Protective responses in sitting - E-H coordination, visual tracking
Moro Reflex
42
Abnormal Integration of this reflex interferes with: - Sitting balance - Protective responses in sitting - E-H coordination, visual tracking - Social interaction, attention
Startle Reflex
43
Abnormal Integration of this reflex interferes with: - Standing and walking - Balance reactions and weight shift in standing - Can lead to contractures of ankles into plantar flexion
Positive support reflex
44
- Stimulus: Noxious stimulus (pinprick) to sole of foot. Tested in supine or sitting position. - Response: Toes extend, foot dorsiflexes, entire LE flexes uncontrollably.
Flexor Withdrawal Reflex - Onset/Integration: -- 28 weeks gestation -\> 1-2 months
45
- Stimulus: Noxious stimulus to ball of foot of LE fixed in extension; tested in supine position. - Response: Opposite LE flexes, then adducts and extends.
Crossed Extension Reflex: - Onset/Integration: -- 28 weeks gestation -\> 1-2 months
46
- Stimulus: Grasp forearm and pull up from supine into sitting position. - Response: Grasp and total flexion of the UE.
Traction Reflex - Onset/Integration -- 28 weeks gestation -\>2-5 months
47
- Stimulus: Sudden change in position of head in relation to trunk; drop patient backward from sitting position. - Response: Extension, abduction of UEs, hand opening, and crying followed by flexion, adduction of arms across chest.
Moro Reflex - Onset/Integration -- 28 weeks gestation -\>5-6 months
48
- Stimulus: Sudden loud or harsh noise. - Response: Sudden extension or abduction of UEs, crying.
Startle Reflex - Onset/Integration -- Birth -\>persists
49
- Stimulus: Maintained pressure to palm of hand (palmar grasp) or to ball of foot under toes (plantar grasp) - Response: Maintained flexion of fingers or toes.
Grasp Onset: palmar, birth; plantar, 28 weeks of gestation. Integrated: palmer, 4–6 months; plantar, 9 months.
50
- Stimulus: Rotation of the head to one side. - Response: Flexion of skull limbs, extension of the jaw limbs, “bow and arrow” or “fencing” posture.
Asymetrical Tomic Neck Reflex - Onset/Integration -- Birth -\>4-6months
51
- Stimulus: Flexion or extension of the head. - Response: With head flexion: flexion of UEs, extension of LEs; with head extension: extension of UEs, flexion of LEs.
Symmetrical Tonic Neck Reflex - Onset/Integration -- 4-6months -\>8-12 months
52
- Stimulus: Prone or supine position. - Response: With prone position: increased flexor tone/flexion of all limbs; with supine: increased extensor tone/ extension of all limbs.
Symmetrical Tonic Labyrinthine - Onset/Integration -- Birth -\>6months
53
- Stimulus: Contact to the ball of the foot in upright standing position. - Response: Rigid extension (co-contraction) of the LEs.
Positive Supporting - Onset/Integration -- Birth -\>6months
54
- Stimulus: Resisted voluntary movement in any part of the body. - Response: Involuntary movement in a resting extremity.
Associated reactions: - Onset/Integration -- (Birth-3months)-\>(8-9years)
