Question | Answer |
hand regard | 2 mo |
head control | 4-5 mo |
rolling | 4-6 mo |
voluntary grasp | 6 mo |
segmental rotation | 6-8 mo |
sitting | 8 mo |
creeping | 9 mo |
crawling | 8-9 mo |
cruising | 10 mo |
walking | 12-18 mo |
symmetrical tonic labyrinthine | birth - 6 mo |
positive support (wt on balls of feet = LE & trunk extension) | 35 wk gest - 2 mo |
plantar grasp (toes) | 28 wk gest - 9 mo |
flexor withdrawal | 28 wk est - 2 mo |
crossed extension | 28 wk gest - 2 mo |
traction (pull to sit) | 28 wk gest - 5 mo |
plantar grasp (fingers) | birth - 4 mo |
ATNR (asymmetrical tonic neck) NOB/BOB, rotation of cranium = UE ext on face side, UE flexion scalp side "ARCHER" | birth - 6 mo |
STNR (symmetrical tonic neck reflex), flexion of head = UE flexion & LE extension, extension of head = UE extension & LE flexion | 4-12 mo |
Galant Reflex, stimulus on skin along skin along spine shoulder top hip = lateral flexion to that side | 30 wks gest - 2 mo |
rooting reflex | 28 wk - 3 mo |
moro reflex, drop trunk/head into extension = abd & open hands | 28 wks gest - 5 mon |
walking (stepping) reflex, support trunk into slight flexion = flex & ext of LE | 38 wks gest - 2 mo |
RRR | register, recall, remote |
exteroceptive is what type of sensory testing? | external stimulus |
proprioceptive is what type of sensory testing? | internal, analytical |
combined cortical is what type of sensory testing? | input requiring more specific analysis |
motor development 2-5 yo | postural control, self feeding, complex thought, ambulation |
motor development 5-10 yo | inc mm growth w/inc wt, refinement of skills - hop, run, kick, dribble. dominance defined - left vs right, beginning of specifity, social component - participate in organized sports |
motor development 11-19 yo | adolescence, inc skill ability, strong social component, fastest, strongest, most accurate at this point |
age 20-39 | adulthood, peak of strength, fibers and size will begin to decrease after 39. Exercise most easily modifiable behavior affecting wellness, |
middle adulthood 40-64 | dec in strength, sometimes undetectable, 2nd'ary to dec in activity, 30-505 decline by age 80 |
late adulthood, 65+ | changes in skills/pathology = chgs in lie, despite exercise may slow and coordination decrease, inc in fall risk, 65+ 30% may fall once per year |
prenatal | 0-40 wks gestation. movement in utero, competent @ birth, skills disappear secondary to new environment/forces |
infancy | birth-24 mo, rapid motor development, milestones, move out of physiologic flexion |
early childhood | 2-5, inc postural control=inc independent & communicate "I DO, I DO!!", utensil use, color, build, open doors & jars, complex thot (share/take turns), ambul (wide BOS, min UE & trunk reciprocal, quickr, stairs, kick, throw, tandem,hop, catch, ex/self imag |
childhood | 5-10. inc mm growth & wt, hopping, run, kick, dribble, refinement of existing skills, dominance refines write/draw, specifity, social component, organized sports |
adolescence | 11-19, plateau begins in motor develop (athletes) 12 yo ~90% mobility, strong social compo, run, jump, throw, speed, stg, accuracy, inc fine dexterity for crafts,music ("I used to...") |
adulthood | 20-39, exercise -"mostly easily modifiable behavior....affecting health & wellness", 30 yo peak of stg, fibers & size will begin to dec post |
middle adulthood | 40+, loss of strength is sometimes undetectible secondary to dec activity, 30-50% by age 80 |
late adulthood | 65 +, chng in skills/pathology=chg in life, despite ex, skills slow & coord may dec, inc fall risk, 30% 65+ experience at least 1 fall/yr |
musculoskeletal physiological changes fetal wks 5-8, | rapid development, most intact before birth |
mm phys chgs 5 mo - 3 yo | mm development 2x greater than bone, mm grows in girth, length, number of fibers (mostly type II) |
males rapid growth when? | birth - 2yo, 10-16 yo (14x to 16 yo) |
females slow gradual inc.....when | 3.5-10 yo (10x to 16 yo) |
how does mm flexibility change? | ability to bend inc w/play in pediatric population, decrease activity = dec in flex, despite loss, can be modified |
primary ossification | bone grown prior to birth |
appositional growth | bone growth on the surface t/o life |
does density & growth continue? | yes, until age 30, eventually resorption > than growth, thus dec density, women > men |
cardiopulmonary physiological changes (deliver nutrients and remove waste) | heart complete by fetal wk 8, full system functional post birth, heart inc 4x size by age 5, capacity inc w/play t/o childhood, become advocates! NUTRITION & EXERCISE!! |
decrease in activity means....... | decrease in elasticity |
lungs complete when? | later in fetal development |
as lung size increases,,,,,,,,,, | with activity so will efficiency = dec RR |
decreased activity will..... | lead to dec capacity/elasticity |
why consider patient's cardiopulmonary? | endurance! |