developmental care, positioning, and postural alignment

Physiological flexion

typical vs atypical tone

typical tone

Reflexes intact and assimilating

typical vs atypical tone

typical

prone clearance to bilateral side

typical vs atypical tone

typical

Equal flexor in arms/legs

typical vs atypical tone

typical

Symmetry

typical vs atypical tone

typical

Trunk alignment during prone suspension

typical vs atypical tone

typical

Key developmental milestones related to feeding:

• 3 mos

• 5-7 mos

• 7-8 mos

• 9 mos

• 19-20 mos

• 3 mos: Trunk and neck stabilization, Midline head and hand orientation

• 5-7 mos: Reaching, grasping, picking up objects (e.g., cup, pellet)

• 7-8 mos: Efficient finger feeding in most infants

• 9 mos: Cause-effect play (e.g., ringing a bell) = purposeful chewing skills emerge

• 19-20 mos: Use of tools (stick to get toy), Feeding skills like using a spoon and cup with minimal spillage

preference for one side of the body • Increased hip/knee flexion, extensor posturing

typical vs atypical tone

atypical tone

Finger splaying, thumb adduction

typical vs atypical tone

atypical tone

Hypotonia indicated by slipping through axillary hold, extended limbs and in supine

typical vs atypical tone

atypical tone

early “rolling”

typical vs atypical tone

atypical tone

Asymmetries in posture, reduced movement on one side (suggests hemiplegia or early CP)

typical vs atypical tone

atypical tone

signs of seeking stability outside of the trunk

typical vs atypical tone

atypical tone

noonan syndrome

costello syndrome

russell-silver syndrome

DiGeorge syndrome

Opitz G/BBB syndrome

Prader-Willi Syndrome

Coffin-Siris syndrome

Mobius syndrome

hemifacial microsomia syndrome

pierre robin (nonsyndromic)

trisomy 18

angelman syndrome