What are the soft tissue limitations seen at birth?

Hint: 3

Hip Flexors

Hamstrings

PF

What are the positions in supine for a 1 mth old?

Head: 2

UE: 3

LE: 1

Hips: 3

Head: Rotation & Ext

UE: Abd, IR, & random movement

LE: Kick with reciprocal pattern

Hips: Flex, ER, Abd

What are the positions in Prone for a 1 mth old?

Hips: 3

Knee: 1

Ankle: 1

Elbow: 1

Head: 3

Hips: Flex, Abd, ER

Knee:flex

Ankle: DF

ELbow: Posterior to elbow

Head: Rotation, Ext, clear the floor

HOw soon do you start tummy time?

As soon as possible / Right away

What positions can a 2 mth old be in?

Hint: 2

Is this the greatest period of Asymmetry?

Supine & Prone

YES

What are the positions in Supine in a 2mth old?

UE: 2

LE: 3

What do they not do in supine yet?

Whatdo they have less of?

UE: moving into Abd & ER

LE: FLex, ER, ABD

No chin tuck

Less physiological flexion

What positions are seen in a 3 mth old?

Hint: 3

Supine

Prone

supported sitting

At 3 moths what occurs in Supine:

Head: 3

UE: 3

LE: 1

Head: Rotation side to side 180 deg, begins symmetrical control & CHIN TUCK

UE: Abd & ER to 90 deg

LE: Kicking symmetrical

What occurs at 3 mths in Prone?

Head: 2

UE: 2

LE: 2

Head: lefts head to 90 deg w/o bobbing, tracking 180 deg

UE: Pronated forearm WB w/ Humeri Abd & Elbows in front of shoulder

LE: Symmetrical & Pelvis not completely flat

What occurs at 3 mths inSupported sitting?

HInt: 4

Maintains back w/ weight on ischial tuberosity

Cervical Hyper Ext

Scapular Add hold head up

LE are not used as a structured BoS

What positions can be peroformed @ 4 mths?

Hint: 4

What period is this?

Supine

Prone

Sidelying

Floor Sitting

Symmetrical period

What movements occur in Supine @4 mths?

Head: 2

LE: 2

Movement: 2

Head: active chin tuck & Midline control

LE: Hip Add & Flexion to bring under pelvis & Mirrors UE

Movements: Hands to flexed knees & Supine to Sidelying to prone

What movements occur in Prone @ 4 mths

Head: 1

Forearm: 2

Hips: 1

Head: raised to 90 deg

Forearm: WB w/ GH flex 90 deg "Superman" & Pivot in prone

Hips: Add w/ more alignment

What occurs in Sidelying @ 4 mths?

Hint: 4

Transition to sitting

LE: symmetrical flexion

UE: hand to hands & hands to knees

Proprioception, Vestibular, & tactile systems working

What occurs in Floor Sitting @ 4 mths?

Hint: 2

What can it assess?

UE: hands together or to mouth

Head: Stabilized in mibline

Assess Torticollis

How many positions occur at 5 mths?

4

Supine

Prone

Sidelying

Propped sitting

What occurs at 5 mths in supine?

Hint:3

Hands to feet

Active knee Ext

Le: more selective control / dissociation

What occurs in prone @ 5 mths?

Hint: 1

If what might they be using?

Pronated Arm Ext & forearm WB

If not may be using end ranges

What occurs in Supin to Sidelying @ 5mths?

Hint: 3

Are legs Dissociated?

What Starts?

Initiates Chin Tuck, Spinal Flexion, and Reaching over chest

Dissociates LE

STARTS Lateral head flexion

What occurs @ 5 mths in propped sitting?

Hint: How long is it held for

8 sec

What movements and positions are expected at 6 mths?

Hint:4

Supine

Sitting

Rolling

Pivot in prone

What occurs in Supine @ 6 mths

Hand to contralateral foot

What occurs in sitting @ 6 mths?

Hint: 4

unsupported for 60 sec

spinal alignment & pelvis perpendicular to floor

Ring sit w/ wide BoS

UE: free from postural system

What movement starts at 6 mths

When is it mastered

Pivot in prone

at 9 mths

What occurs during rolling in 6 mths?

Hint:4

Initiated w/ dissociated LE & Chin Tuck

Controls WS with abdominals & NWB leg

Mastered Antigravity movements

Transition from prone to quad

What movements / positions occur at 7 mths?

Hint:5

Sidelying

Quadraped

Bear Stand

Creeping on Belly

Pulling to stand

What occurs in sidelying @ 7 mths?

2

Dissociate LE

Plays in high sidelying

What occurs in Quadraped @ 7 mths?

3

Rocking A/P

Transition from prone to quad: need to dissociate LE's  to increase ability of on WS control

Transition from sitting to quad: must have increased control of WS

What occurs in Pulling to stand @ 7mths?

How much assist from UE's?

LE: ankle & feet

How do they get back down to floor?

Maximum use of UE's

feet pronated w/ toe curling

Falling

What position and movements occur @ 8 mths?

Hint: 6

Sitting

Crawling on Hands

Rising to stand

Climbing

Standing @furniture

Cruising on furniture

What occurs during sitting @8 mths?

the use of variety of LE positions

Is crawling on hands and knees critical at 8 mths?

Yes

@ 8 mth should a child be dependent on UE to stand?

What else are they starting to help transition to standing?

YES

1/2 kneeling and tall kneeling

How does an 8 nth old climb?

starts with a lot of UE

HOw does the 8 mth old stand @ furniture?

Wide BoS, UE's still required

What is the key player when cruising along furniture @ 8 mths?

UE's

What movement / positions occur @ 9 mths?

Hint: 7

Sitting

Quadraped

Kneeling

Four point climbing

Cruising

Standing w/ support

Walking w/ support

What is critical @ 9 mths?

2

Sitting independently in all positions

Four point climbing

What occurs @ 10 mths?

Hint:4

Creeping in Bear stance

Transition to stand

Standing at furniture

Cruising

@ 10 mths do they need external support in 1/2 kneeling?

Can they stand with minimal support of UE's?

Yes

Yes

@ 10 mths can they push and cruise?

Yes

What occurs at 11 mths?

2

Tall kneeling with WS

Standing w/o support

What occurs @ 12 mths?

Hint: 3

Quad to Bear stance

Stand w/o support

Walking independent w/ variation in UE positions

What should a 13 mth old do?

All of the above (5) &?

Crawling on hands

Walking - 5 steps unaided

Sit to stand

All sitting postures

Quadraped

&

Tall kneeling w/ head rotation w/o loosing balance

At 14mths whta should they be able to do?

Crawl on hands and knees up 2 steps

Walking 10 ft w/ narrow BoS

At 15 & 16 mths what should they be doing?

Creeping down 2 steps on hands and knees backward

AT 17- 18 mths?

4

Walking backwards

Walking 10 ft in 1/2 time of 14 mths

crawling up and down steps

tall kneeling

How should a 21 - 22 mths walk?

sideways 10 ft

What should be done @ 2 yrs of age?

Crawling up and down steps

walking sideways &  in a line for 3 steps (27-28 mths)

What is expected of a 3 year old?

Walking (5) & 4 more =9

Walking w/ narrow BoS, backwards, sideways, in a line for >3 steps, on tip toes 5 steps

Running 30 ft in 60 sec

Jumping off elevated surface of 18-24"

Tall kneel

squating

WHat is expected of a 4 yr old?

Walking:1

SLS: 1 

Jumping: 2

Running: 3 

Standing:1

SLS for 5 sec w/o swaying >20 deg

Jumps forward 6 inches

hop on one foot 5 times

Walking a 4 foot line

standing on tip toes for 3 sec with hands over head

walking line backwards 4 ft w/o steppin goff line

Running balance & coordination , able to stop with in 2 steps,

What is a 5 yr old expected to do?

Walk 

Run

SLS

Jumping

Walk with narrow BoS & Tip toe

Run with speed and agility for 20 ft 

SLS for 10 sec w/o swaying > 20 deg

Skipping

Jumping 10 inch hurdles, forward 36 inch, jump sideways