Term
| Name 4 impacts on development |
|
Definition
Environment
Family
Nutrition
Genetics |
|
|
Term
Supine: Head to one side; lack of midline sense; disorganized asymmetry; physiological flexion
Sitting: Head lag in pull to sit; round back - needs full support; head generally down, but bobs up occasionally
Prone: COG toward face; ability to protect airway with head turn; physiological flexion
Standing: Bears weight on legs; automatic walking |
|
Definition
|
|
Term
Supine: Head to side/lack of midline sense; still asymmetric; hand to mouth; less physiologic flexion; more active, more frequent movement and swiping
Sitting: Complete head lag in pull to sit; back still round - needs full support; head up more frequently but with poor control
Prone: Less physiologic flexion - hips flatter and COG moves back; lifts head to 45 degrees for several seconds; uses one-sided pattern (head to side) to initiate lift; more weight on arms
Standing: May or may not bear weight on legs |
|
Definition
|
|
Term
Supine: Midline orientation develops - head midline, hands together on chest; more symmetry in arm and leg movement; less physiologic flexion; beginning to reach vs swiping
Sitting: partial head lag in pull to sit; back still round but with occasional upper back extension; good head control
Prone: Hips almost flat; lifts head to 90 degrees easily; uses midline pattern to initiate lift; hand to hand and foot to foot midline contact; more weight on arms, chest up slightly
Standing: Hips behind shoulders, legs stiff, no more auto walking |
|
Definition
|
|
Term
Supine: Strong midline sense and symmetry; brings hands together above chest; may bring hands to knees
Sitting: Minimal head lag in pull to sit; beginning to use abs to pull to sit; upper and middle back extension seen
Sidelying: May accidentally roll to side; symmetry in arm and leg posture
Prone: Legs closer together and hips flat; FWB on arms; elbows under shoulders with chest off surface; chin tuck emerges; landau emerges
Standing: Hips behind shoulders; legs stiff; toes curled |
|
Definition
|
|
Term
Supine: Strong use of abs to bring feet to hands; reaches with outstretched fingers; rolls to prone iwth leg roll pattern
Sitting: No head lag in pull to sit; uses abs & hip flexion in pull to sit; legs in wide ring for broad BOS; still needs trunk support but has increasing extension
Sidelying: Log roll pattern; dissociation of legs with elongation of the WB side & shortening of the NWB side; some lateral flexion of the neck
Prone: Bears weight on extended arms; able to shift weight and free one hand to reach; strong landau; legs straighter, closer together; rolls from prone to supine
Standing: Needs less support, able to bounce - knees no longer locked |
|
Definition
|
|
Term
Supine: Smooth, controlled reach; rolls easily to prone
Sitting: chin tuck in pull to sit iwth use of abs & legs; may sit unsupported, often with arms held high; no equilibrium or protective extension
Sidelying: Strong lateral flexion
Prone: Beginning locomotion - may pivot prone and can push body backward from prone on extended elbows; smoother reach, strong extended elbow in WB, strong landau; has prone equilibrium reactions
Standing: Lots of bouncing; can be supported by hands only |
|
Definition
|
|
Term
Supine: Supine equilibrium response; prefers to roll to prone
Sitting: Protective extension reactions present in forward and sideways directions; abel to rotate trunk; able to transition down to prone
Quadruped: Able to achieve postion from prone; shifts weight or "rocks"
Prone: Frequent pivot prone; locomotion via belly crawl
Standing: May pull self to stand, relying heavily on arm and strength and with legs symmetrical |
|
Definition
|
|
Term
Sitting: Side sits with dissociation of legs; achieves sitting position from prone; smaller base at legs; has good forward and sideways protective extension; sitting equilibrium
Sidelying: Plays in sidelying while propped on elbow; uses segmental rolling
Quadruped: Achieves position from sit; creeps for locomotion
Standing: Can stand with one hand hold; cruises sideways at furniture |
|
Definition
|
|
Term
Sitting: Increased trunk and pelvic flexibility; allows use of a variety of positions
Kneeling: Able to kneel with hips bent
Quadruped: Frequent creeping; able to reach with one arm
Standing: Pulls to stand with legs dissociated; cruises at furniture turned partially to front; walks with two hands held - legs wide apart and feet lifted high to take a step |
|
Definition
|
|
Term
Sitting: Protective extension backward; increased use of rotation and diagonal planes of movement
Kneeling: More hip extension but still flexed
Standing: Cruises with only one hand on furniture; little reliance on arms; can lower self to sit on floor while holding furniture |
|
Definition
|
|
Term
| Standing: Stands alone with arms held high; activates ankle muscles to help with balance; uses mostly leg strength to rise to stand |
|
Definition
|
|
Term
| Standing: Rises to stand from quadruped - does not require use of arms on furniture; may try to walk alone - legs far apart, arms held high, feet often turned out, no heel strike, no arm swing; does not yet demonstrate frequent, well-isolated, or coordinated use of foot/ankle muscles |
|
Definition
|
|
Term
-Walks independently
-Walks backward
-Hurls a ball with elbow extended
-Goes up and down steps with one hand held
-Developing standing equilibrium responses |
|
Definition
|
|
Term
-Jumps up 2" with 2 feet
-Kicks a ball
-More heel strike in gait, but absent push-off
-Goes up and down steps independently, two feet per tier |
|
Definition
|
|
Term
-Goes up and down steps alternating feet
-Pedals tricycle
-Walks with reciprocal arm swing
-Stand on one foot 1-3 sec
-Catches a ball with arms extended
-Beginning to hop on one foot
-More mature heel strike and push-off in gait
-Walks on tip-toes |
|
Definition
|
|
Term
-Hops consecutively on one foot
-Stands on one foot 10 sec
-Skips
-Walks forward on balance beam 4-6 steps without falling
-Broad jumps 2-3 feet
-Catches a ball with elbows bent
-Smooth overhand ball throw |
|
Definition
|
|
Term
-Able to use abdominals well enough to perform a sit-up with arms across chest
-Can kick rolling ball with running approach
-Jumps up 10"
-Performs jumping jacks
-Increase in speed and strength |
|
Definition
|
|
Term
| What are some pediatric treatment concepts |
|
Definition
-Know family/child's goals
-Spend time observing family/child
-Create a partnership with family/child
-Educate the family/child
-Vary the treatment environment
-Coordinate with other therapist
-Be prepared to change activites often
-Structure therapy session into play activites
-Use imagination
-Look beyond the obvious or traditional
-Build self confidence and self esteem
-Be aware of normal developmental behaviors
-Encourage family to enjoy their child
-Involve family/siblings/friends in tx
-Consider alternatives/options to supplement therapy
-Use your resources |
|
|
