Peds exam 1

physiological flexion in supine and prone age range

0-10 days

decreasing flexor tone age range

1-2 months

smooth visual pursuit age range

6 weeks

beginning to sustain head in midline more often rotated age range

1-2 months

increasing socialization age range

1-2 months

beginning to bear weight on forearms in prone age range

3 months

increasing midline orientation: head in midline with chin tuck, hands and eyes increasing time in midline, LEs in frog leg position age range

3 months

continued head lag with shoulder elevation during pull to sit age range

3 months

head in midline in frontal plane, slight flexion, unable to rotate head unsupported age range

2 months

stable head control, able to rotate to follow vision, occasional loss of control age range

3 months

strong asymmetries, increased hypotonia, unable to bring head to midline or hands to body, strong dislike of prone, unable to achieve prone on elbows are red flags at

3 months

strong symmetry balancing flexors and extensors age range

4-5 months

accidental rolls from prone to sidelying age range

3-4 months

shoulder adduction with chin tuck, begins reaching in prone age range

4-5 months

beginning pelvic tilts in prone age range

4-5 months

prone on hands age range

5 months

hands to knees and feet in supine age range

4-5 months

rolls from supine to sidelying age range

4-5 months

pull to sit with no head lag age range

4-5 months

prone on extended arms age range

6 months

reaching in prone on forearms age range

6 months

rolling supine to and from prone age range

6 months

sitting (with or without hands) age range

6 months

accepting weight through LEs, may bounce age range

6 months

impaired LE posturing or patterns red flag at

6 months

independent sitting with transitions age range

7-9 months

crawling and creeping age range

7-9 months

actively supinating forearm, radial-palmar grasp age range

7 months

independent feeding from bottles age range

7-9 months

radial digital grasp, begin finger feeding age range

7-9 months

sitting without UEs age range

6-8 months

inability to sit independently or transition in/out of sitting red flag at

9 months

lack of variable LE position in sitting red flag at

9 months

bunny hopping pattern to crawl red flag at

9 months

pre walking skills (pull to stand, cruising, independent standing) age range

10-16 months

independent walking age range

10-16 months

creeping up stairs age range

10-16 months

squat to stand without UEs age range

10-16 months

imitative scribbling, palmar-supinate grasp age range

13-18 months

15 meaningful words age range

13-18 months

abnormal ROM, strong asymmetrical postures red flags at

12 months

not climbing or pulling to stand/standing at surfaces red flag at

12 months

not attempting to walk independently, not performing pre-walking skills red flag at

15 months

walking in plantar flexion or using hip adduction red flag at

15 months

spontaneous scribbles age range

18-24 months

linking 2 words together, 50-200+ word vocabulary age range

18-24 months

jumps off low step age range

24-36 months

kicks small ball age range

24-36 months

throwing overhand age range

24-36 months

walking backwards age range

24-36 months

standing on 1 foot for a few seconds age range

24-36

digital pronate grasp on pencil, vertical then horizontal stroke age range

24-36 months

two part sentences, 250+ words age range

24-36 months

true run with flight phase age range

3 years

reciprocal stair ascending age range

3 years

step to stair descending age range

3 years

jump off step age range

3 years

jump over 2 inch object age range

3 years

hops on one foot age range

4 years

kicks a ball age range

4 years

reciprocal pattern descending stairs age range

4 years

galloping age range

4 years

trunk rotation when throwing age range

4 years

stopping and changing directions quickly when running age range

5 years

hop 8-10 times consecutively on one foot age range

5 years

throw ball and hit target from 10 feet age range

5 years

roller skates age range

5 years

ride bikes age range

5 years

skips age range

5-6 years

jump rope age range

6-8 years

throws and bats balls more skillfully age range

6-8 years

increasing strength, coordination, balance, and speed age range

9-12 years

increased jumping distance age range

9-12

mature running, jumping, and throwing patterns age range

9-12 years

feeding problems and lack of LE movement indicators of atypical motor development in age range

1-2 months

stuck in head, neck, or trunk extension indicators of atypical motor development in age range

1-2 months

extremely floppy indicators of atypical motor development in age range

1-2 months

maintaining rigid postures indicates of atypical motor development in age range

4 months

unable to alternated between flexion and extension indicates of atypical motor development in age range

4 months

consistent asymmetrical postures indicates of atypical motor development in age range

4 months

inability to achieve midline of head or extremities indicates of atypical motor development in age range

month 4

lack of reaching or only unilateral movements indicates of atypical motor development in age range

4 months

impaired LE posturing or patterns indicates of atypical motor development in age range

6 months

impaired LE posturing can include

hip extension, adduction, IR, plantar flexion or hip abduction, ER, ankle DF and eversion

no lateral flexion in prone or sidelying indicates of atypical motor development in age range

6 months

unable to roll or using extension to roll indicates of atypical motor development in age range

6 months

poor WB through UE in prone indicates of atypical motor development in age range

6 months

unable to prop sit, head lag in pull to sit indicates of atypical motor development in age range

6 months

unable to transition in/out of sitting. indicates of atypical motor development in age range

9 months

buny hopping to crawl indicates of atypical motor development in age range

9 months

lack of variability of LE positioning in sitting indicates of atypical motor development in age range

9 months

abnormal ROM indicates of atypical motor development in age range

12 months

not moving forward in prone indicates of atypical motor development in age range

12 months

common blocks in head and neck control

neck hyperextension, head and neck asymmetry

pelvic position if patient has low tone

anterior pelvic tilt

pelvic position if patient has high tone

posterior pelvic tilt

most common compensation for neck hyperextension block

shoulder elevation

treatment for head and neck asymmetry block

symmetrical flexion

signs of scapular instability with shoulder and UE control block

prone on forearms and hands difficult, scapular winging in prone on forearms

signs of shoulder and UE control block

decreased scapular stability, limited dissociation of humerus from scapula, scapular adduction to assist thoracic stability.