TIS                         
Chapter 4
The Neonate

The neonatal period of development is considered to be the first three months of life. There are generally accepted motor milestones that each child achieves, though each child does develop at an individual rate. The next chapters will outline normal developmental milestones, areas of concern for each stage, differences seen in the premature infant and treatment interventions to consider for delayed milestone development. The normal neonate is dominated by the TLR, ATNR, and righting reflexes as reflected through functional approaches of the milestones attributed to this stage.

THE MILESTONES | 1 - 3 MONTHS

AREAS OF CONCERNS

COMPARISON OF PRE-TERM AND FULL-TERM MOTOR DEVELOPMENT

Full-termPre-term
4 weeks Posture dominated by flexion
Sitting - head in midline
Arms by side
Posture dominated by extension
Sitting - very rounded back and
Forward head position
8 weeks Prone suspension - head in
line with body
Prone suspension - complete flexion

Atypical behaviors of the neonate include: Atypical behaviors of the one-month old include: Atypical behaviors of the two to three-month old include: Treatment interventions generally are directed at the developmental processes that appear lacking. If the child is ill, refer to treatment interventions of previous chapters. However, for an otherwise healthy infant, consider developing a treatment plan for the caregivers that include sensory integrative approaches such as neutral warmth with soft, warm blankets, positioning prone to encourage head rising, interesting shapes in black and white to encourage visual looking, and gentle stroking for stiffness that appears abnormal.


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