Rehab Techniques

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Rehab Techniques
2011-10-05 15:32:39
Normal Acquisition Motor Skills

Normal Acquisition of Motor Skills
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  1. The vestibular system starts to form at this time.
    8 weeks
  2. - Brain & primitive spinal cord are developed.
    - Embryo becomes a fetus
    - The first sensitivity to touch is displayed in a set of protective movements
    - Vestibular system starts to form
    First trimester
  3. - Fetus explores it's own body - hands to face
    - Fetus actively engages with its own environment
    - Changes in position such as twisting and turning facilitate kinesthetic awareness
    - Auditory system and lung function developed
    Second trimester
  4. - Auditory, vestibular, and olfactory systems intact
    - Visual system nearly set
    - Sensation of light touch intact
    Third trimester
  5. Control of movement is first learned in what plane?
    Sagittal plane - flexion and extension
  6. The ability to co-contract around joints to maintain a stable base and the ability to use muscle groups independently of other groups to get controlled movement results in?
    Mobility superimposed on stability
  7. - Physiological flexion dominates with some random movement
    - Extensors are in an elongated position
    - No purposeful lateral weight shift or rotation
    - Able to visually fixate on objects
    Neonate (0 - 10 days)
  8. - Slight overall decrease in flexion
    - More active rotation present in the head and neck
    - In supine, the head more laterally oriented because flexion has decreased
    - Gravity has acted to help decrease hip and knee flexion; arms are in more external rotation
    One month
  9. - Significant decrease in physiological flexion but has not developed active extension
    - Therefore, may appear hypertonic and disorganized
    - Can visually follow objects
    Two months
  10. - There is much more controlled symmetrical movement
    - Will begin to see active extension
    - Will use much rotation in the cervical spine with head turning and weight shifting
    Four months
  11. Child can sit independently
    Six months
  12. - A time of active sensory-spatial exploration
    - Visual feedback is important for the development of postural control
    - Rapidly developing anti-gravity and mobility skills
    Nine months
  13. Creeping is refined and counter rotation has developed in four-point.
    Nine months
  14. - A period of independent movement - rarely stays for long in prone or supine when awake
    - Has gained all necessary ranges of motion needed to develop and refine higher level of skills
    Twelve months