GROSS MOTOR
DEVELOPMENT
in the first year
By: Johannes Purwanto
HEAD CONTROL IN SUPINE
Physiological Chin tucked
Head lateral
flexion midline
HEAD CONTROL IN PRONE
Physiological Head tilting
Head lateral
flexion midline
ROLLING - PRIMITIVE PHASE
ATNR
Rooting reflex
Optical Righting
ROLLING - TRANSITIONAL PHASE
Extended rolling Rolling to prone Flexed rolling
ROLLING – MATURE PHASE
SITTING - PRIMITIVE PHASE
Primary sitting
Tonic labirinthine
SITTING - TRANSITIONAL PHASE
Head align Pull to sit Feet to mouth
(High guard synergist
stability)
SITTING - MATURE PHASE
Supported Sitting Automatic
sitting sitting
CREEPING - PRIMITIVE PHASE
Tonic labirinthine
Primary crawling
STNR
CREEPING - TRANSITIONAL PHASE
Landau reaction
Elbow support
Hand support Pivoting
CREEPING - MATURE PHASE
Hand feet support
Bilateral crawling
Creeping
Reciprocal crawling
CREEPING - MATURE PHASE
Hand feet support
Bilateral crawling
Creeping
Reciprocal crawling
STANDING - PRIMITIVE PHASE
Primary standing Primary walking
STANDING - TRANSITIONAL PHASE
Pull to stand Supported
(toes curling) standing
STANDING - MATURE PHASE
Kneeling
Supported Walking
walking Squatting
1-3 months:
Physiological Flexion
1 month
2 months
3 months
Head Control Progression in Supine
Head Control Progression in Prone
4 – 6 months:
Flexor Development
Extensor Development
4 months
5 months
6 months
Flexor Components Development
Extensor Components Development
7 – 9 months:
Axial Development
7 months
8 months
9 months
Sitting Progression
Crawling Progression
10 – 12 months:
Standing-Walking Development
10 months
11 months
12 months
FLEXOR POSTURE DEVELOPMENT
• Step 1:
– Capital Flexion
– Neck Flexion
• Step2:
– Rib cage down
– Trunk flexion
• Step 3:
– Pelvic Post Tilt
– Hip flexion ANKLE
• Step 4: DORSAL
FLEXION
– Legs flexion NECK
CAPITAL
– Ankle dorsal flexion FLEXION
EXTENSOR POSTURE DEVELOPMENT
• Step 1:
– Capital Flexion
– Neck Extension
• Step2:
– Scapular adduction
– Trunk Extension
• Step 3:
– Pelvic Ant Tilt
– Hip Extension
• Step 4: NECK
CAPITAL
– Legs Extension ANKLE
FLEXION
– Ankle Plantar flexion PLANTAR
FLEXION
ROTATION POSTURE DEVELOPMENT
• Step 1:
– Capital Flexion
– Cervical Rotation
• Step2:
– Thoracal Rotation
• Step 3:
– Lumbar Rotation
– 3D Pelvic Movement
NECK
• Step 4: ANKLE
CAPITAL
FLEXION
– Legs dissosiated DORSAL
FLEXION
SPINAL
ROTATION
movement
– Ankle Dorsal Flexion
• Step 1: STANDING POSTURE
– Capital Flexion
– Upright pelvis DEVELOPMENT
• Step2:
– Trunk flexion
• Step 3: NECK
– Pelvic Post Tilt STABILITY
– Hip flexion
• Step 4:
– Trunk Extension
– Hip-Leg Extension
PROX/CORE
– BOS on heel STABILITY
BOS
ON HEEL