Prone 2 Months

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Observations

Elbows behind shoulders

Atypical Development

Limited ROM of upper extremities

Supine

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Observations

• Increased cervical extension and rotation

• Increased mobility of shoulders, most notably into abduction

• Opening hands

• Actively moving into greater hip and knee extension using bilateral and symmetrical kicking patterns

• Resting position of lower extremities continues to be hip flexion, abduction and external rotation 

Atypical

• Strong extension

• Marked hypotonia 

• Lack of kicking

Supported Sitting

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Observations

• Briefly lifts head, unable to maintain

Atypical Development

• Strong extension of head, trunk, and hips in sitting

• Poor visual tracking with head supported

Pull to Sit

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Observations

• Attempts to lift head

Atypical Development

• Strong extension of head, trunk, and hips in sitting

Standing

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Observations

• Due to strong ATNR reflex, month 2 is not an ideal time to evaluate motor progress