Appendix 1

APPENDIX 1

The First Patient Record Chart.

Psychomotor growth rating for babies from birth to 5 months

Session # _____ Date_______ Age in months_______

1. Lifts head lying on stomach - 0.0, 1.0, 1.5, 2.0 score -- See Photos

2. Holds the head in lifted position while lying on stomach - 0.0, 1.0, 1.5; 2.0 score  --  See Photos

3. Leans on forearms lying on the stomach - 0.0, 1.0, 1.5; 2.0 score

4. Follows a rattle with the head urned to the left - 0.0, 1,0, 1.5, 2.0 score; and then with head turned to the right - 0.0, 1,0, 1.5, 2.0 score - See Photo 1, Photo 2

5. Reach for a rattle with the left hand - 0.0, 1.0, 1.5, 2.0 score; Reach for a rattle with the right hand - 0.0, 1.0, 1.5. 2.0 score -

See Photos

6. Reach for a rattle with both hands - 0.0, 1.0, 1.5, 2.0 score

7. Holds a rattle in the left hand - 0.0, 1.0, 1.5, 2.0 score; Holds a rattle in the right hand -0.0, 1.0, 1.5, 2.0 score

8. Pass a rattle from one hand to the other -0.0, 1.0, 1.5, 2.0 score

9. Revolution on stomach to the left - 0.0, 1.0, 1.5, 2.0 score; revolution on the stomach to the right - 0.0, 1.0, 1.5, 2.0 score

See Photos

10. Leans on both hands while being restrained by the legs  - 0.0, 1.0, 1.5, 2.0 score;  leans on left hand while being restrained by the legs; 0.0, 1.0, 1.5, 2.0 score; leans on right hand while being restrained by legs - 0.0, 1.0, 1.5, 2.0 score; 

-See Photo Both Hands -- See Photo Right Hand -- See Photo Left Hand    

11. Stands on both feet after rising from a squat position. - 0.0, 1.0, 1.5, 2.0 score - 

See Photo

12. Stands on the right foot after squat on table - 0.0, 1.0, 1.5, 2.0 score -

See Photos

13. Stands on the left foot after squat on table - 0.0, 1.0, 1.5, 2.0 score -

See Photo

14. Stands on both feet after squat on edge of table - 0.0, 1.0, 1.5, 2.0 score -

See Photos

15. Babbles - 0.0, 1.0, 1.5, 2.0 score

Grand Total Possible Score: N=42