neuro 5

• cognitive - trial and error to understand the task
• associative - refinement - concentrate on how to do it, rather than what
• autonomous - it's automatic now

head rotates to one side, and the nose-side UE and LE extends, occipital side UE LE flex

birth to 4-6 months

noxious stim to ball of foot of LE in extension, and the contralat LE should flex, then add and ext

(pt w hemiplegia -- lift uninvolved LE off ground in amb, and involved leg should have increased extensor tone)

28 wks gestation to 1-2 months

tilt person to one side, and limbs should ext and abd on that side

• 6 months in prone
• 7-8 months in supine and sitting
• 9-12 in kneeling
• 12-21 in standing

it's never integrated, rather we keep it

maintain pressure in palm or plantar surface of foot, and hand should grasp or toes should flex

• palmar: birth to 4-6 months
• plantar: 28 wks gestation to 9 months

• lift kid in prone with your hand on thorax,
• head, then back and legs should extend

3 mo to 2 years

tip kid in various directions and head should orient to vertical, mouth should be horizontal

for labyrinthine, cover the eyes

birth or 2 months - forever

stim to ball of foot while standing --> rigid ext of LE w PF, inv, toes clawing, hip IR

can't ambulate if this is present bc can't DF or properly move leg jts

adductor spasm may occur

may produce hip abd

birth - 6 months

• if tilted, abd limbs on that sie
• onset: arms 4-6 months, legs 6-9 months
• integration: persists

• stim side of face w light touch and kid turns head that way and opens month
• birth - 3 months

• flex head: UE flex, LE ext
• ext head: UE ext, LE flex
• 4-6 months to 8-12

• in prone: increased flex tone
• in supine: increased ext tone
• (body curls towards the floor each way)
• birth to 6 months

• grasp forearm and pull from supine to sit -- pt should flex UE and head lags behind, then lifts, then flexes
• 28 wks gestation to 2-5 months

• 4 or less -- requires immediate care
• 5-6 - some care
• 7-10 normal

C5-C6 are stretched during birthing

• weak: GH abd, ER, elbow flexion, supination
• posture: waiter's tip -- GH is add, IR

C8 and T1 nerve roots are stretched during birth process

• weak hand and wrist flexors
• claw hand appearance is common