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brittle bone disease, fractures in utero & during birth process in severe cases, multiple fractures as child grows, deformities in arms & legs, developmental growth problems, eye abnormalities, risk of hearing impairments
OT: educate/adapt on safe pursue of activities of interest, environmental risk factors, preventive positioning, protective splinting, activities to increase muscle strength, weight-bearing to facilitate bone growth
genetic disorder of connective tissue, tall with long limbs and fingers, defects of the heart valves & aorta, effects lungs, eyes, spinal cord, hard palate
Arthrogryposis Multiplex Congenita
a rare congenital disorder that is characterized by multiple joint contractures and can include muscle weakness and fibrosis, non-progressive disease
a congenital deformity involving one foot or both, affected foot appears rotated internally at the ankle
Congenital Club Hand
a congenital deformity involving one hand or both, affected hand appears extremely radially deviated
Congenital Hip Dislocation
more common in girls, hip is developed incorrectly affecting the childs ability to walk, waddling gait
rapidly drop head backwards = 1st phase arm extension, abduction & hand opening, 2nd phase arm flexion & adduction
Asymmetric Tonic Neck Reflex
fully rotate head, hold for 5 sec. = extension of extremities on face side, flexion on skull side
Labyrinthine Optical Head Righting
infant suspended vertically, tilt slowly = upright positioning of head
suddenly tip forward = extension of upper extremities, hand opening, neck extension
finger to palm (picking up coins) 12-15 mos.
palm to finger (placing coins in slot) 2- 2 1/2 yrs.
simple rotation (unscrewing bottle cap) 2- 2 1/2 yrs.
shift (separating 2 peices of paper) 3- 3 1/2 yrs.
complex rotation (turning pencil over to erase) 6-7 yrs.
in-hand manipulation (manipulating more than one object in hand at same time) 6-7 yrs.
Scissor Use 3-4 yrs.
manipulates scissors forward, coordinates lateral, cuts straight, cuts geometric shapes, cuts circles
inferior scissor grasp 7 mos.
scissor grasp 8 mos.
inferior pincer grasp 9 mos.
pincer grasp 10 mos.
fine pincer grasp 12 mos.
Self-feeding 6-9 mos.
holds & tries to eat cracker, sucks on it instead, consumes soft foods, grabs spoon but bangs it or sucks on it
Self-feeding 24-30 mos.
demonstrates interest in using fork stabbing food such as: canned fruit, proficient use of spoon, eats cereal with milk
Self-dressing 1 yr.
holds out arms & feet, pulls off shoes, removes socks, pushes arms through sleeves & legs through pants
Self-dressing 2 1/2 yrs.
removes elastic pants, assists in pulling off socks, puts on front button coat or shirt, unbuttons large buttons
Self-dressing 3 yrs.
puts on pullover shirt, shoes without fasteners, socks, independently pulls down pants, zips & unzips, buttons large buttons
Self-dressing 3 1/2 yrs.
finds front of clothing, snaps & hooks, unzips & zips, puts on mittens, unbuckles, dresses with supervision
Self-dressing 4 yrs.
removes pullover shirt, buckles belt or shoes, zips, puts on socks, puts on shoes with assist with laces, laces shoes, identifies back & front of shirt
Toileting 2 1/2 yrs.
occassional daytime accidents, rarely bowel accidents, tells someone when needs to go to bathroom, may need help on toilet
Toileting 3 yrs.
goes to bathroom independently, may need help with wiping, may need help with fasteners
Household Management 3 yrs.
carries things without dropping them, dusts with help, dries dishes with help, gardens with help, wipes up spills
Household Management 5 yrs.
puts away toys neatly, makes a sandwich, takes out trash, makes bed, puts dirty clothes in hamper, makes bed, answer phone correctly
Household Management 6 yrs.
does simple errands, does household chores without redoing, cleans sink, washes dishes with help, crosses street safely
Household Management 7-9 yrs.
begins to cook simple meals, puts clean clothes away, hangs up clothes, manages small amount of money, uses telephone correctly
Household Management 10-12 yrs.
cooks simple meals with supervision, does simple repairs with tools, begins doing laundry, sets table, washes dishes, cares for pet with reminders
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