Questions and Answers
What is characterized by grasping with the ring and small finger, but lacking thumb opposition?
What fingers are used in the radial palmar grasp?
Index and middle fingers
What is the mechanism of the raking grasp?
Scratching with fingers 2-4 without using the thumb
The lateral key pinch involves the thumb being positioned under the index finger.
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What is the inferior pincer grasp characterized by?
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What is notable about the neat pincer grasp?
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Which grasp is characterized by a hook-like manner?
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What defines the power grasp?
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What characterizes the spherical grasp?
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What retrieves the disc grasp?
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Which grasp involves fingers wrapping around a cylinder?
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How is the palmar supinated pencil grasp defined?
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What is involved in the digital pronated grasp?
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What differentiates the static tripod from the dynamic tripod pencil grasp?
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What elicits the proprioceptive placing reflex?
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The palmar grasp reflex involves the infant's fingers curling around an object touching its palm.
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What is notable about the traction response in newborns?
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Study Notes
Grasp Types and Definitions
- Ulnar Palmar Grasp: Involves grasping with the ring and small fingers, lacking thumb opposition.
- Palmar Grasp: Held by the middle and ring fingers, pressure applied to the palm; radial in nature.
- Radial Palmar Grasp: Utilizes the index and middle fingers; pressure against the radial palm.
- Raking Grasp: Features scratching motion using fingers 2-4 without thumb involvement; traps objects between fingers.
Enhanced Pinching and Grasping Techniques
- Lateral Key Pinch: Thumb is abducted over the index finger, holding objects against the lateral border of the index.
- Radial Digital Grasp: Thumb stabilizes the object while all four fingers provide radial movement.
- Three Jaw Chuck Grasp: Involves the thumb, index, and middle fingers to pick up blocks securely.
- Inferior Pincer Grasp: Features opposition of the thumb between distal and proximal interphalangeal joints.
Precise Pinching
- Neat Pincer Grasp: Opposes thumb to pad of the index or middle finger; commonly used for picking up small objects like Cheerios.
- Superior Pincer Grasp: Involves tips of the thumb and index (or middle) finger; suited for delicate grasping of small items.
Functional Grasp Types
- Hook Grasp: Flexion of fingers 2-5 to hold objects in a hook-like manner, useful for carrying bags.
- Power Grasp: Involves significant force; utilizes proximal joint muscles to maintain control over tools.
- Spherical Grasp: Fingers and thumb abducted around a round object, typical wrist extension and finger abduction required.
Specialized Grasping Techniques
- Disc Grasp: Characterized by a flattened palm against an object; hyperextension at MCPs with flexion at IPs.
- Cylindrical Grasp: Utilizes all fingers wrapping around a cylindrical object, such as jars or glasses.
Pencil Grasp Variations
- Palmar Supinated Pencil Grasp: Hold pencil with supinated palmar grip.
- Palmar Pronated Pencil Grasp: Grasp pencil in a pronated manner.
- Digital Pronated Grasp: Involves thumb and index finger holding the pencil upside down.
- Static Tripod Pencil Grasp: Three-finger grasp without significant finger movement, reliant on forearm motion.
- Dynamic Tripod Pencil Grasp: Finger positioning at an angle allowing for more dynamic movement.
Reflex and Response Grasp Types
- Proprioceptive Placing (Primitive Reflex) - Upper Extremity: Newborn tested upright, reflex elicited by pressure on dorsal hand; results in elbow flexion followed by extension.
- Palmar Grasp Reflex: Reflexive curling of an infant's fingers when an object touches the palm.
- Traction Response: Infant pulled from lying to a sitting position with initial head lag, followed by active flexion.
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Description
This quiz features flashcards focused on the development of various grasps in infants. It highlights the differences between ulnar palmar, palmar, and radial palmar grasps. Test your knowledge of these fundamental movements essential for early motor skills.