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activity
the extent to which someone performs in a standard (normative) environment; aka capacity (i.e. the pacer test)
participation
the extent to which someone performs in a USUAL environment; i.e. performance in a classroom or workplace (running irl)
extrinsic factors
environmental/situational influences that are barriers or facilitators of health
ex: access to medications, pollution, accessibility
intrinsic factors
genetics, temperament, stage of development; anything personal to you that affects your health condition or your lifestyle
services
benefits, operations, and structured programs instituted within society to meet the needs of individuals
systems
admin control and organization established by governments
policies
rules, regulations, conventions, and standards
normative development
development proceeds along a general pattern and within usual timing/sequence; basis for decline or achievement so that HRS can intervene as needed
development is (4)
lifelong, multidimensional/directional, highly plastic, affected by multiple interacting forces
age normative influences
developmental milestones strongly correlated with age and chronicity
history normative influences
factors that affect a cohort, i.e. generational differences (baby boomers) or historical events (covid kids)
non normative influences
events that are irregular/unpredictable/minority of population experience
ex: types and impacts of disabilities, family violence, illness, poverty
health (WHO)
state of complete physical, mental, and social wellbeing; not just the absence of disease
individual functioning at a level appropriate to achieve desired outcomes
disablement
sociomedical concept describing disability as a product of the impact of a health condition on function, considering personal and environmental factors that serve as risk factors, interventions, and exacerbators
risk factor
personal or environmental factor that diminishes health, leaving an individual less likely to realize their full developmental potential
disability
term used to encompass problems with various dimensions of human functioning, activity, and participation
medical model of disability
loss of function associated with disease, trauma, or health condition as an attribute of a person; based on treatment plan/problem solving and healthcare policies
social model of disability
loss of function associated with disease, trauma, or health condition is a fault of the environment; this is managed by change in social policy
international classification of disease
ICD: reimbursement coding for US healthcare system for classification of diseases, symptoms, social circumstances, external causes
adaptive functioning
someone’s independence in ADLs; ICF suggests that a person’s capacity and performance is linked to their independence
public policy
broad category that includes legislation as well as policies within social institutions; regulatory, written statements backed by funding and the government
reflective of social, moral, and economic values; often triggered by events
extrinsic factor
theory definition
an attempt to explain human behavior through hypotheses that are tested and updated to fit the current knowledge base; should be logically and empirically sound, as well as internally consistent and observationally validated
continuity vs discontinuity theories of developmental stages
gradual augmentation of skills and cognition or definite features of each chronological stage
bronfenbrenner’s ecological model/systems theory
micro, meso, exo, and macro systems all contribute to the diversity of the results of human development as there are mutually influence relationships between individuals and their contexts
stability
rules for anticipating behavior are consistent through life; people do not change; supports NATURE
plasticity
development is open to change in response to influence; this is NURTURE
reductionistic theory
behavior is the sum of several small behaviors
non reductionistic theory
behavior is a whole that cannot be broken into parts with any significant meaning
mechanistic theory
humans react to the environment; the environment spurs behavior, NOT the person
takes away the concept of internal drive and human desire
Freud
psychoanalytic (specifically psychosexual) personality theory featuring the id, the ego, and the superego; focused on biological/nature instincts (penis envy)
Erikson
psychoanalytic (psychosocial) theorist who believes in dynamic influences of psychological structures; more nurture/environmentalist than Freud
conflict and crises resolution mode theory
Watson
behaviorism is North America based on observable events (LITTLE ALBERT)
classical conditioning built off Pavlovian research
Skinner
another behaviorist: developed operant conditioning theory
frequency of behavior is increase by reinforcement and decreased by punishment; learning principle seen everywhere
Bandura
social learning theory
modeling/imitation as a major source of early human development; cognition and thinking also allow watchers to develop a sense of humanity, morality, and individuality
Piaget
cognitive theorist based on adaptation, assimilation, accommodation
believed in stages of knowledge acquisition and operation: sensorimotor, pre operational, concrete operations, and formal operations
equilibrium vs disequilibrium theory of human development
schema change as humans learn more; constructivist view of human development
Vygotsky
cognitive theorist who emphasized the sociocultural influence on cognitive development; must evaluate development through the cultural lens in which the child is developing
scaffolding: development is largely influenced by the support of others
private speech for early problem solving and preliminary mental processes
Gesell
individual differences contribute to innate differences; human developmental behavior has characteristic patterns that reflect maturation of neural structures
pediatrician who advocated for doctor ed
adaptation (Piaget)
structures of the mind develop to better fit with or represent the external world
assimilation and accommodation (Piaget)
change the environment to fit an individual’s structure and change the function in accordance with the environment
Piaget’s stages
sensorimotor (0-2): intelligence listed to immediate perceptions and actions; very here and now focused
pre operational (2-7): symbolic representation is the basis for language development and communication; egocentricism and centration (inability to consider other stimuli and also other people’s POV)
concrete operation (7-12): children understand decentricism, reversibility, and identity
formal operations (12+ but not everyone achieves this): abstract representations and hypothetic-deductive reasoning
IDEA (individuals with disabilities education act)
1990 U.S. law that ensures disabled children have access to free and appropriate public education, including IEPs
originally 1975 EHA (education for all handicapped children act)
prior to the civil rights act, only 1 in 5 kids with disabilities received education
Part B: free appropriate public education in least restrictive environment
right to evaluation to determine best course of action while minimizing differences
2004: reauthorization to improve special education classes
IDEA- part C
children from birth through 2 years old can receive yearly intervention services to support them and their families
OT, PT, assistive technology, etc through individualized family service plan
in home, childcare, preschools, community health
work with a professional to ensure that the child’s and the family’s needs are being met
opportunities vary by state based on laws and funding differences; some states have different qualifying criteria as well so access is not always equitable
prenatal period
embryo for first eight weeks: body structures of all systems are formed, most sensitive to teratogens at this time
week 1 zygote embeds in uterine lining, week 2 three layers form
week 3 neural tube
fetus for the rest: structural maturation and refinement
gestational age
duration of pregnancy, term used in dating age of infants before birth
average term is 38-42 weeks; babies born before 37 weeks are considered preterm
baby’s senses at birth
smell, taste, and touch are highly developed; somatosensory cortex of brain is most mature sensory cortical area at birth
mother-infant relationship is greatly affected by skin-to-skin contact
baby’s vision
can see high contrast patterns and recognize face stimuli early on and can best see 8-12 inches from their face
baby’s hearing
newborns can distinguish between mom’s voice and another’s due to exposure to momma in utero; also soothed by heartbeat sounds due to familiarity in momma
newborn movement
maturationalist view: motor behavior develops in conjunction with progressive maturation of higher brain centers
dynamic systems theory of motor control: behavior is emergent and dependent on intrinsic and extrinsic factors
both work in conjunction to contribute to human development
reflex
stereotypic obligatory response to a given stimulus
neuromotor patterns that become integrated into the nervous system as precursors to more complex/mature movements
attractor well
preferred pattern of movement; tends to be variable and individualized towards a goal
suck/swallow reflex
28th week gestation; first nourishment reflex
phasic bite reflex
pressure on gums triggers up and down motion of the jaw; accompanies feeding behavior
gag reflex
38 weeks gestation to prevent choking
rooting reflex
associated with feeding: elicited by perioral touch and response is a turn towards stimulus
standing and stepping reflex
standing: when held vertical, baby will push their feet onto the floor (WB)
stepping: when tipped forward, baby will spontaneously waddle their legs in an alternate pattern
moro reflex
vestibular system reflex as fall protection: extend then cling to self or theoretically nearest arm/body/caregiver
palmar and plantar and babinski
fingers curl (grab) and toes curl (balance) and toes fan out
baby’s six behavioral states
deep sleep, active REM sleep, drowsiness (sleep ← → wakefulness), quiet alert (optimal for evaluation, learning, and bonding), active alert (awake but feisty), crying (do not engage)
entrainment and social-cognitive development
linked behavior exchange and turn taking is precursor for communication and interaction later on; infants respond to classical and operant conditioning via learning/experience
multiple risk model
the more risks an infant (or mother) endures, the lower the chances of a good outcome
factors: preemie, low birth weight, multiple birth, medical complications, lower socioeconomic status, lack of maternal healthcare and education
infancy
period of life from birth to 12 months of age characterized by rapid physical growth and developmental progress across all domains of function; locomotion, language, and individual development and interaction style will be developed by 1 yr
growth through the first year
50% length increase from birth
birth weight doubled by 5-6 months and tripled by 12 months
HR slows from 120-140 bpm to 80-100 bpm
blood pressure is lower at birth
early infancy
period of cumulative change that is the groundwork for everything later
righting and posture
process of bringing body parts into alignment; alignment of body at any given point in time
postural equilibrium and control
reestablishing a center of mass over base of support once displaced; the ability to maintain the body in position by keeping the center of gravity over the base
balance
body maintained in equilibrium at rest or in motion
prehension
the use of hands for grasping, reaching, or manipulating
early infancy gross motor
sitting development goes from head flop to being able to hold head stable
upright vertical motor skills include stepping reflexes
early infancy fine motor
hands go from predominantly fisted to hands open most of the time; can also sustain grasp by four months
early infancy oral motor
increasing volitional parts of suck-swallow pattern
intentional communication (babbling, cooing, laughing to elicit a response)
Piaget on infancy
first three months are a purely reflexive stage and include primary circular reactions
repetition of interesting actions
early infancy social emotional
distress when in physical discomfort
increase in positive affect in first three months
imitate movements already in repertoire (opening mouth)
attack or sit back curiosity type is noticeable
middle infancy gross motor
can bring hands to midline, can right body and head for postural and mobile function
can go lying-sitting and can locomote via crawling, stepping
rocking on all fours, rolling
middle infancy fine motor
raking, control grasp and learning environment as hand transfer skills develop
middle infancy oral motor
sloop feeding at 4 months