Npte, O'sullivan Pediatrics Review

Front 1

Neuromaturationist theory

Back 1

Cortex is command center

Front 2

Dynamic Systems theory

Back 2

command center changes from cortex to other levels, depending on task. immature postures involve cocontraction.

Front 3

neuronal group selection theory

Back 3

genetic code of species outlines neural network formation. if unexercised, synaptic connections die.

Front 4

1 mo

Back 4

physiological flexion

Front 5

2 mo

Back 5

45 degrees of head elevation, Atasia abasia (disappearance of LE support when weightbearing)

Front 6

3 mo

Back 6

POE

Front 7

4 mo

Back 7

rolls side-side, no head lag in PTS

Front 8

5 mo

Back 8

rolls prone-supine, has head control

Front 9

6 mo

Back 9

prone on hands, I sitting, pull to stand

Front 10

7 mo

Back 10

quadruped, prone pivot

Front 11

8-9 mo

Back 11

crawls, PTS along furniture, cruising

Front 12

10 mo

Back 12

walking, creeping, floor to stand

Front 13

20 mo

Back 13

step to ascending stairs

Front 14

gestation age

Back 14

age of fetus in weeks, from day of last menstruation

Front 15

Fetal development 7.5 weeks

Back 15

bends neck and trunk

Front 16

Apgar test

Back 16

given to newborns - at 1 min, 5 min, 10 min to assess HR, RR, reflex irritability, muscle tone, color. >7 is a good score

Front 17

Apgar test score of 4

Back 17

poor score

Front 18

Talipes equinovarus

Back 18

clubfoot

Front 19

Babinski reflex

Back 19

stroke lateral foot and get extension and fanning of toes

Front 20

How long does Babinski last?

Back 20

0-12 months

Front 21

Define Flexor withdrawal

Back 21

sharp, quick pressure to foot or palm causes withdrawal

Front 22

When does flexor withdrawal reflex disappear?

Back 22

0-2 months

Front 23

Define crossed-extension reflex

Back 23

sharp quick pressure to sole of foot causes withdrawal of LE and extension of opposite LE

Front 24

When does crossed-extension reflex disappear?

Back 24

0-2 months

Front 25

Define Galant reflex

Back 25

stroke lateral trunk, causes lateral trunk flexion

Front 26

How long does Galant reflex last?

Back 26

0-2 months

Front 27

Define Moro Reflex

Back 27

neck extension results in flexion, shldr abduction and extension of elbows

Front 28

How long does Moro reflex last?

Back 28

0-4 months

Front 29

Define primary standing reaction

Back 29

with supported standing, infant will extend LE. This interferes with walking by not allowing dissociation between joints

Front 30

Define primary walking

Back 30

with supported standing and slight forward trunk, reciprocal stepping occurs. This typically disappears 0-2 months

Front 31

Define neonatal neck righting

Back 31

turn the head of the infant in supine, will body log roll to I/L side.

Front 32

How long does neonatal neck righting last?

Back 32

0-6 months

Front 33

Define rooting reflex

Back 33

stroking around mouth will turn head and open mouth

Front 34

How long does rooting reflex last?

Back 34

0-3 months

Front 35

Define sucking reflex. How long does it last?

Back 35

touch to lips, tongue, palate results in automatic sucking. 0-6 months

Front 36

Define startle reflex. How long does it last?

Back 36

Loud noise, causes sudden jerking of the whole body with extension and abduction of whole body. 0-6 months.

Front 37

Define Tonic Labryinthine reflex. How long does it last?

Back 37

prone position is max flexor tone, supine is max extensor tone. 0-6 months

Front 38

What happens is tonic labryinthine reflex is strong?

Back 38

May block rolling from supine due to increased extensor tone

Front 39

Define ATNR. How long does it last?

Back 39

head rotation causes extension of face side extremities and flexion of skull side extremities. 0-5 months

Front 40

If ATNR persists, what kind of problems may arise?

Back 40

scoliosis, hip dislocation, interfere with grasping and hand-mouth activities.

Front 41

Define palmar grasp. How long does it last?

Back 41

pressure against palm results in grasping object with slow release. 0-4 months

Front 42

Define plantar grasp. How long does it last?

Back 42

pressure to stimulus of foot or feet lowering to floor results in curling of toes. 0-9 months.

Front 43

What reflex must be integrated prior to walking?

Back 43

plantar grasp reflex may interfere with this task.

Front 44

Define placing reactions. How long does it last?

Back 44

If you drag dorsum of foot or back of hand against edge of table, placing of foot or hand on table top. 0-6 months.

Front 45

Define pull to sit or traction. How long does head lag occur?

Back 45

pull infant to sitting from supine. head lag occurs until 4-5 months.

Front 46

Define optical and labryinthine righting

Back 46

Head orients to vertical position when body is tilted. (showing vestibular input)

Front 47

Define protective extension. When does it begin?

Back 47

Quick displacement of trunk in downward direction in multi-directions results in extension of legs and arms to catch weight. Starts at 4 months.

Front 48

Define body righting reaction on the head

Back 48

When body contacts surface, head will right with respect to gravity. Begins 4-6months

Front 49

Define Body right reaction on body

Back 49

when head or thorax rotates, rolling over will occur. Begins at 6-8 months.

Front 50

Define STNR. How long does it last?

Back 50

Cervical extension produces UE extension and LE flexion. Cervical flexion produces UE flexion and LE extension. 6-8 months.

Front 51

What does STNR interfere with if present?

Back 51

Interferes with stable quadruped position and creeping.

Front 52

Define Landau reaction. How long does it last?

Back 52

when suspended, neck trunk and hips extend. Lasts from 4-18 months

Front 53

Define tilting reactions.

Back 53

shifting of body will result in lateral spinal flexion.