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