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Questions and Answers
What signs of development in a 5-month-old indicate increased flexor control?
What signs of development in a 5-month-old indicate increased flexor control?
What is a key developmental milestone in prone position at 6 months?
What is a key developmental milestone in prone position at 6 months?
What is the primary development occurring in 6-month-old infants in the sitting position?
What is the primary development occurring in 6-month-old infants in the sitting position?
Which of these signs indicate the development of equilibrium reactions at 7 months?
Which of these signs indicate the development of equilibrium reactions at 7 months?
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Which developmental milestone is associated with developing strength in the palmer group in 6-month-old infants?
Which developmental milestone is associated with developing strength in the palmer group in 6-month-old infants?
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What is the primary purpose of using developmental milestones?
What is the primary purpose of using developmental milestones?
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What is a key characteristic of motor development in typically developing children?
What is a key characteristic of motor development in typically developing children?
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How does the predictability of milestones typically differ between children with and without disabilities?
How does the predictability of milestones typically differ between children with and without disabilities?
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When assessing a child's progress, why is it important to understand typical growth and development?
When assessing a child's progress, why is it important to understand typical growth and development?
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What can be said about variations in the literature regarding growth and development?
What can be said about variations in the literature regarding growth and development?
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Which of the following best describes the progression of motor development?
Which of the following best describes the progression of motor development?
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At what age does a child typically begin to demonstrate the ability to transfer objects hand-to-hand?
At what age does a child typically begin to demonstrate the ability to transfer objects hand-to-hand?
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Which of the following is NOT a typical characteristic of a neonate in the prone position?
Which of the following is NOT a typical characteristic of a neonate in the prone position?
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At what age would a child typically be expected to be able to jump with both feet off the floor?
At what age would a child typically be expected to be able to jump with both feet off the floor?
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Which of the following BEST describes the characteristic of a 2-month-old infant's prone position?
Which of the following BEST describes the characteristic of a 2-month-old infant's prone position?
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What is the typical order of progression of mobility skills?
What is the typical order of progression of mobility skills?
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Which of the following skills would you expect a child to have before they begin cruising?
Which of the following skills would you expect a child to have before they begin cruising?
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Which of the following best defines the role of repetition during sensorimotor development?
Which of the following best defines the role of repetition during sensorimotor development?
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What key milestone is significant during the 4-month development stage related to head orientation?
What key milestone is significant during the 4-month development stage related to head orientation?
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Which grasp begins to develop around 4 months of age?
Which grasp begins to develop around 4 months of age?
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Which activity is noted in the 4-month milestone for infants when in prone position?
Which activity is noted in the 4-month milestone for infants when in prone position?
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What posture feature is observed in infants at 4 months when they are held in standing?
What posture feature is observed in infants at 4 months when they are held in standing?
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What behavioral change is noted in infants during pull to sit (PTS) at 4 months?
What behavioral change is noted in infants during pull to sit (PTS) at 4 months?
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What is a characteristic of a neonate's sitting position?
What is a characteristic of a neonate's sitting position?
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At 1 month of age, what is the position of the lower extremities when in the supine position?
At 1 month of age, what is the position of the lower extremities when in the supine position?
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What is a developmental milestone observed in a 2-month-old in the prone position?
What is a developmental milestone observed in a 2-month-old in the prone position?
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Which statement describes the hand actions of a 2-month-old?
Which statement describes the hand actions of a 2-month-old?
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What is the head control ability of a 3-month-old when in the pull to sit position?
What is the head control ability of a 3-month-old when in the pull to sit position?
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At what age do children begin to show visual convergence?
At what age do children begin to show visual convergence?
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What defines astasia-abasia in a 2-month-old during standing?
What defines astasia-abasia in a 2-month-old during standing?
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What describes the lower extremity position of a 3-month-old in supine?
What describes the lower extremity position of a 3-month-old in supine?
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At 8 months, which activity can the child perform without problems?
At 8 months, which activity can the child perform without problems?
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What demonstrates a significant developmental milestone for a child at 11 months?
What demonstrates a significant developmental milestone for a child at 11 months?
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Which grasping technique is typical for a child at 8 months?
Which grasping technique is typical for a child at 8 months?
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What would a child at 9-10 months typically display in standing?
What would a child at 9-10 months typically display in standing?
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At which age does a child begin to enjoy side lying as a position?
At which age does a child begin to enjoy side lying as a position?
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What language development milestone is expected for a child at 9-10 months?
What language development milestone is expected for a child at 9-10 months?
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Which of the following describes a child's sitting ability at 7 months?
Which of the following describes a child's sitting ability at 7 months?
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What does a child typically show in walking ability at 12 months?
What does a child typically show in walking ability at 12 months?
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Flashcards
What are developmental milestones?
What are developmental milestones?
Activities that a typically developing child reaches at certain ages. Used for testing a child's motor and mental progress.
Is development linear?
Is development linear?
Development proceeds at different rates for different skills.
What is typical development?
What is typical development?
Milestones and motor patterns are predictable.
What is atypical development?
What is atypical development?
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Why are milestones less predictable in children with disabilities?
Why are milestones less predictable in children with disabilities?
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Midline Orientation
Midline Orientation
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ATNR - Asymmetrical Tonic Neck Reflex
ATNR - Asymmetrical Tonic Neck Reflex
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Landau Reflex
Landau Reflex
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Prone Equilibrium
Prone Equilibrium
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Proprioception
Proprioception
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Sensorimotor Development
Sensorimotor Development
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Cephalo-caudal Development
Cephalo-caudal Development
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Proximal to Distal Development
Proximal to Distal Development
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Gross Motor to Fine Motor Development
Gross Motor to Fine Motor Development
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Repetition in Motor Development
Repetition in Motor Development
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Physiological Flexion in Newborns
Physiological Flexion in Newborns
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Reciprocal Motion of Extremities
Reciprocal Motion of Extremities
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Creeping
Creeping
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Moro Reflex
Moro Reflex
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Palmar Grasp Reflex
Palmar Grasp Reflex
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Rooting Reflex
Rooting Reflex
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Babinski Reflex
Babinski Reflex
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Head Control
Head Control
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Sitting
Sitting
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Standing
Standing
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Mass Patterns
Mass Patterns
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No Head Lag
No Head Lag
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Upper and Lower Extremity Dissociation from Trunk
Upper and Lower Extremity Dissociation from Trunk
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Pulls with UE's
Pulls with UE's
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Rolls Prone to Supine
Rolls Prone to Supine
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Trunk Control in Sitting
Trunk Control in Sitting
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Reciprocal Creeping
Reciprocal Creeping
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Rotates from Sidelying-Sitting-Quadruped-Sitting
Rotates from Sidelying-Sitting-Quadruped-Sitting
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Cruising Sideways
Cruising Sideways
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Fine Pincer Development
Fine Pincer Development
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Controlled Lowering To Floor
Controlled Lowering To Floor
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Study Notes
Introduction to Typical Development
- The presentation is about typical development.
- It covers milestones in gross motor skill development.
- The information is based on generally accepted timelines from various tests and texts.
General Information
- Babies actively work against gravity during development.
- Development is an ongoing process.
- Development is linked to the maturity of the nervous system.
- Development follows a sequence: cephalo-caudal (head to tail), proximal to distal (near to far), and gross motor to fine motor skills.
- Multiple sensory systems (tactile, proprioceptive, kinesthetic, visual, auditory, and vestibular) contribute to sensorimotor development.
- Repetitive movement helps refine development.
Key Motor Milestones
- Milestones are actions a typical child achieves at specific ages.
- Milestones assess motor and mental development.
- Development is holistic; milestones aren't separate events; but build upon each other.
Typical Development and Disability
- Milestones and motor patterns in typical children are somewhat predictable.
- Predictability of milestones and patterns is reduced when a child has a disability.
Basic Milestones (1-2 months)
- 1 Month: Lifts head to clear face; physiological flexion; random body movements.
- 2 Months: Supports prone on elbows with a wide base; tendency toward mass patterns in lower extremities.
Basic Milestones (3-4 months)
- 3-4 Months: Increased extensor tone in neck and arms; prone on elbows with elbows under shoulders; midline positioning of upper extremities; tendency toward reciprocal motion of lower extremities; head up to 90 degrees prone.
Basic Milestones (5 Months)
- 5 Months: Prone on hands with a flat pelvis; can prop themselves up in a sitting position using their forearms.
Basic Milestones (6 Months)
- 6 Months: Rolls both ways; prone on hands with weight shift; extension complete; transfers objects with hands; perfects rotation.
Basic Milestones (7-9 Months)
- 7-9 Months: In and out of sitting positions; quadruped creeping.
Basic Milestones (10 Months)
- 10 Months: Pulls up on objects; shifts weight while standing.
Basic Milestones (11-12 Months)
- 11-12 Months: Cruising, independent standing balance; fine pincer movements (picking up small objects between thumb and forefinger)
Basic Milestones (13-14 Months)
- 13-14 Months: Independent ambulation (walking).
General Skills (18-40 Months)
- 18 Months: Walks up stairs with assistance; climbs on chairs; throws a ball and feeds themselves; cooperates with dressing; still dependent on caregivers.
- 24 Months: Runs well; walks up and down stairs independently; kicks a ball; enjoys running; locomotion and posture are becoming more refined.
- 30 Months: Jumps with both feet off the floor; attempts to balance on one foot.
- 36 Months: Alternates feet going up steps; jumps from a step; rides a tricycle
- 40 Months: Walks down stairs; skips; jumps; throws a ball overhead.
Neonate (Newborn)
- Prone: Dominated by physiological flexion; head can move to either side; upper extremities are adducted and flexed; pelvis is positioned high; random movements.
- Supine: Flexed; head moves to one side; upper extremities flexed, abducted, externally rotated; lower extremities flexed; random movements.
- Pull to Sit: Complete head lag; Difficulty staying in a sitting position; head flops forward; back is rounded; pelvis is slightly perpendicular to the ground.
- Sitting: Difficulty sitting unsupported; rounded spine; head control is still developing.
- Standing: Neonatal or primary standing position; automatic walking reflex.
1 Month
- Prone: Lifts head to clear the face; decreased flexion; decreased hip flexion; lower pelvis; increased head turning for better view.
- Supine: Head turns further to the side; increased extension in lower extremities; still random movements
- PTS (Positioning and Tone and Support): Complete head lag; attempts to lift head in sitting positions; rounded back; perpendicular pelvis.
- Hand: Tightly clasped using palmer reflex.
- Language: Small throat sounds.
2 Months
- Prone: Decreased flexion; head up to 45 degrees; weight on outstretched hands and forearms; lower pelvis.
- Supine: Head more to the side, rarely in midline; upper extremities move away from the body; lower extremities have decreased hip flexion; feet are more on the mat surface; mass patterns of movements begin to emerge.
- PTS: Attempts to assist; less head lag.
- Sitting: Head bobbing; still rounded back; starts to extend neck.
- Standing: Performs astasia abasia (inability or reluctance to stand) due to motor incoordination and poorly oriented feet; Difficulty maintaining balance; head up when supported.
- Hands: Approaching objects from the ulnar side; raking at objects.
- Language: Turns head toward sound; attempts to reach for bells.
3 Months
- Prone: Head up to 90 degrees; weight on elbows; pelvis flat on mat.
- Supine: Head close to midline but can move to either side; visual convergence of upper extremities; arms come together on chest/lower extremities pull at clothing; mass pattern movements; frog-legged position with feet together; upper extremities moving closer to chest
- PTS: Mild head lag; increased desire to bring head up; SCM starting to engage; use of upper extremities to assist in posture
- Sitting: Head is held up; increases back extension; pushes back into extension.
- Standing: Will begin to bear more weight; lower extremities (abduction, external rotation with hips behind shoulders); and toes curled.
- Hands: Loosely closed; ulnar palmer grasp.
- Language: Coos and chuckles.
4 Months
- Prone: Increased extension; head kept in midline; chest lifted off mat; forearm weight bearing; proprioception in shoulders; lower extremities aligned; weight shift with pelvis; accidental rolls to the side
- Supine: Good midline orientation of head; upper extremities together in space; lower extremities with increased anterior pelvic tilt; random pushing with lower extremities
- PTS: Anticipates pull; head kept in midline; abdominal and lower extremity activity
- Sitting: Head stable in sitting positions; almost complete back extension; pelvis is slightly less perpendicular from the ground.
- Standing: Can be held by arms; lower extremities are not stiff; significant toe curling
- Hands: Beginning palmar grasp.
5 Months
- General: Body righting; the beginning of prone equilibrium; extension involves low back and hips; extended arms support weight. Chest elevated; forearm weight shift enables reaching
- Prone: Extension into low back and hips; extended arm weight bearing; chest elevated; forearm weight shift enables reaching out; lower extremities in line with trunk; swimming movements; accidental rolls to supine;
- Supine: Increased flexor control; feet to mouth movements/Rolls supine to side
- PTS: No head lag; initiates chin tuck, arm pull (traction)
- Sitting: Good head control; can lean forward and prop; sits in tailor-style while propping forward;
- Hands: Palmer grasp.
6 Months
- General: Equilibrium reactions complete; spinal and hip extension; weights shifts on extended arms ; Rolls prone to supine ; Beginning pivot prone activities (moving from prone to other positions).
- Supine: Increased flexion against gravity; head lifts and reaches to objects; will roll supine to prone ; Upper and lower extremities dissociate from trunk;
- PTS: Pulls using UE’s
- Sitting: Trunk control; back straight; beginning hip control.
- Standing: Takes full weight; hands can be held.
- Hand: Strong palmer grasp; pronation.
- Language: Will attempt to find hidden sounds.
7 Months
- General: Equilibrium responses observed in supine and prone positions; protective extension sideways
- Prone: Development of postural control; beginning quadruped movement (four limbs positioned on the ground); good pivot in prone position; beginnings of low creeping movements; UE’s participate with pulling and weight shifts; LE weight bearing through rocking and weight-shifting
- Supine: Does not enjoy this position anymore; bid this category goodbye;
- Sitting: Towards end of the 7th month, mostly can assume quadruped position to sit with Lateral weight shifts; protective extensions to the side; trunk rotations; transitions from sitting to prone
- Standing: Pulls self into standing position;
- Hands: Radial palmer grasp; three-jaw chuck
- Language: Vowel sounds.
8 Months
- General: Equilibrium in sitting complete.
- Prone: Creeps on hands and knees;
- Sitting: In and out of sitting positions with ease; has good weight shift control; picks up small objects with three jaw chuck.
- Standing: Pulls to stand by half kneeling; Stands while holding one hand.
- Walking: Takes stepping gait movements; two hands are needed to assist walking.
- Hands: Thumb-index finger/inferior pincer grasp.
- Language: Consonant sounds.
9-10 Months
- General: Equilibrium reactions in quadruped;protective extension backwards
- Prone: Reciprocal creeping; kneeling position near furniture;
- Sitting: Plays in high side-lying; rotates from side-lying to sitting to quadruped-sitting positions.
- Standing: Plays in standing position
- Walking: Walks with hands held; moving sideways,
- Hands: Developing fine pincer movements;
- Language: Single words like "mama" and "dada."
11 Months
- Prone: Does not stay in this position;
- Sitting: Can sit on bench-type seats in sitting positions and can easily get into and out of those positions;
- Standing: Controlled lowering down to the floor; stands while holding one hand.
- Walking: Walks while holding hands; walks forward independently; does not need assistance
- Language: Associates actions with words; follows simple commands.
12 Months
- Standing: Beginning of equilibrium, fully mature at 13 months; stands alone; transitions between standing and different positions(squatting, bending)
- Walking: Walking while holding one hand; independent steps, may take a few steps alone;
- Other:
13-14 Months
- Independent ambulation (walking).
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Description
Test your knowledge on the key motor development milestones for infants aged 5 to 7 months. This quiz covers essential signs of flexor control, sitting position development, and equilibrium reactions. Understand how typical growth and variations in development play a crucial role in assessing a child's progress.