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Thread: Milestones & Areas to be concerned about in Cerebral Palsy

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    Thumbs up Milestones & Areas to be concerned about in Cerebral Palsy

    THE MILESTONES | 1 - 3 MONTHS
    Attempts to hit or swipe at moving objects with hands
    Change of expression at the sound of a familiar voice
    Enjoys interactions with others
    Attempts to use hands and eyes in coordination
    Appears to recognize familiar faces and objects
    Kicks and pushes with legs when placed supine or prone
    Automatic stepping response when held up with feet on a firm surface
    Recognizes sounds and turns head toward the sound
    Begins to coo and babble
    Will raise chest and head when placed prone
    Will open and close hands and able to mouth the hand or fingers
    Grasp and shake small toys

    AREAS OF CONCERNS
    Cannot support head at 3 months
    Will not extend legs when placed on a hard surface by 4 months
    Eyes do not follow objects by 2 to 3 months
    Little babbling and does not mimic by 4 months
    No response or startle reflex to loud sounds or noises
    No smile or change of expression by 2 months
    Appears disinterested in new faces
    Does not bring objects to the mouth by 4 months
    Legs and arms appear weak, no kicking or grabbing


    THE MILESTONES | 4 - 7 MONTHS
    Curious of mirror images
    Able to support weight on lower extremity
    Able to cross the midline and hand objects hand-to-hand
    Can track moving objects with eyes
    Shows a response to emotions of others
    Explores to find hidden objects
    Able to roll prone to supine and supine to prone
    Sits without support
    Able to reach out with one hand
    Interacts in social playing and activities

    AREAS OF CONCERN
    Stiffness or appearance of spasticity
    Cannot become content
    Unable to roll
    Dislikes being held or hugged
    Unable to sit independently
    Does not eye track
    Unable to support body weight on legs
    Does not look for sounds or sources of noise
    Does not smile
    Not interested in interactive play with others
    Not babbling or mimicking others


    THE MILESTONES | 8 - 12 MONTHS
    Says a few words such as mom, dad, dog, uh-ohh
    Imitates others at play
    Babbles with true meaning
    Furniture walks
    Pulls to standing
    Transitions from sitting to crawling position
    Stands for short periods of time without assistance
    Can hit two items together
    Can put toys in a box and take them out
    Explores with index finger
    Attempts to copy words and sounds for attention
    Is aware of familiar people and toys
    Knows parents
    Starts to become fearful of certain situation
    Understands simple words such as no
    Can finger feed
    Can respond with gestures
    Walks two to three steps unassisted

    AREAS OF CONCERN
    Not crawling
    Not standing with support
    Drags of favors one side
    Not saying simple words
    Not doing simple gestures
    Cannot go from sitting position to crawling position unassisted
    Not able to put objects in and out of a box


    MILESTONES | 1 - 2 YEARS
    Says several single words (15 - 18 months)
    Creates two to four word sentences (18 - 24 months)
    Can kick a ball

    Is climbing on and off furniture unassisted
    Can walk and carry several objects
    Starts to run
    Recognizes familiar names and people
    Listens to and follows simple instructions
    Ascend and descend stairs independently
    Plays with other children
    Can stand on tip-toes
    Repeats words
    Can locate hidden objects
    Knows names and locations of several body parts

    AREAS OF CONCERN
    Has not developed an efficient ambulatory routine
    Not talking in at least two word sentences by 2 years
    Not following simple instructions

    Atypical behaviors 13 -14 month-olds
    Absence of transition from bottom scooting or bunny hopping to ambulation

    Atypical behaviors in 15 - 16 month-olds
    If walking has not occurred, consider for delay in all areas and in-depth assessments need to be undertaken

    Atypical behaviors in 17 - 18 month-olds
    Ceiling age for onset of independent ambulation

    Atypical behaviors in 20-22 month-olds
    A base of support much wider than the pelvis is associated with low muscle tone
    Poor balance and coordination
    Base of support too narrow is associated with high tone

    Atypical behaviors in 2 year olds
    Walking pattern unresponsive to level changes
    Poor leg and trunk alignment
    Insecure balance and frequent falls
    The significance of a man is not in what he attains but in what he longs to attain.

  2. #2
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    Thumbs up Mobility, Locomotion and Gait Sequences

    Children with locomotor disorders represent a large proportion of the population of children treated by pediatric physical therapists. Thus this table will present an overview of mobility, locomotion and gait through a developmental process.

    The significance of a man is not in what he attains but in what he longs to attain.

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