Dpt 2 - Pediatrics - Postural Reactions Ppt Test Latest Update what are the three types of postural reactions - Answer righ ting protective equilibrium what are the types of righting reactions - Answer vertical right ing reactions rotational righting reactions describe vertical righting reactions - Answer allow child to orient head in space so eyes and mouth are in *horizontal plane regardless of body position* examine with child upright, prone, supine describe rotational righting reactions - Answer assist in restoring the body alignment to a neutral anatomical position when segments of the body have be en rotated T/F postural responses integrate - Answer false how to test vertical righting reactions (lateral, anterior, poste rior) - Answer support child under axilla and tilt 30-45 deg laterally, anteriorly, posterio rly + = alignment of head with horizontal is complete response maintaining head in alignment with body is *partial response* how to document response - Answer intact/partial/absent onset of vertical righting reactions (lateral, anteriorly, poster iorly) - Answer 2.5- 6 months integration of vertical righting reactions - Answer maintained t hrough adult life lateral righting reactions are observed in sidelying and during rollin g to assist in - Answer controlling the head against gravity prone vertical righting reaction onset - Answer 1.5-4 months how to test prone vertical righting reaction - Answer place ch ild prone and observe cervical and trunk extension - give reason for kid to look up (p arent, toy) + = head lifted 45 degrees is appropriate response for 4 month old, by 6-7 months child should be able to extend entire trunk and pelvis so an upward concavity is observed (Landau response) landau response - Answer by 6-7 months child should be able t o extend entire trunk and pelvis so an upward concavity is observed supine vertical righting reaction - Answer place child in supine and ob serve head lifting off surface may elicit by pulling child to sit and observe for chin tuck + = child lifts head off surface spontaneously while in supine, tuck s chin partially or completely during pull to sit onset of vertical righting reaction in supine - Answer 4-6 months complete chin tuck not observed in all healthy babies until - Answe r 8-10 months rotational righting reactions - Answer restore body parts to n ormal alignment following rotation of some body segment non-segmental rolling (log roll) segmental rolling log rolling/non-segmental rolling procedure - Answer infant supine passively turn infants head passively flex and adduct lower extremity elicit head turning with toy + = upon head turning or flexion and adduction of the LE, the rest of infant's body rotates 'like a log' in a non-segmental fashion onset of log rolling - Answer birth integration of log rolling - Answer 6-12 months segmental rolling occurs when - Answer log rolling is integrated onset 6-12 months segmental rolling procedure - Answer same as non-segmental rolling + segmental rolling response - Answer upon passive head rotati on, or LE flexion and adduction, there may be no response upon active initiation of rolling, mature response includes distin ct rotation between the shoulder and pelvic girdle head and trunk rotation about the central axis of the body
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