ALBERTA INFANT: •

MOTOR SCALE : •

Record Booklet :

Year Month Day

Name Date ot Assessment I I I

Identification Number Date of Birth I I I

Examiner Chronological Age I I I

Place of Assessment Corrected Age I I I

Previous Items Items Credited Subscale Credited In Window Score

Prone --- . ..----- .. ·- ' ·-~--- -Supine

Sit

Stand

Total Score '-1 -----' Percentile '-1 -----'

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Comments/Recommendations

II

Alberta Infant Motor Scale • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • STUDY#

PRONE

SUPINE

SITIING

STANDING

Prone Lying (l)

Phys.ological flex1an 1-Jrns neod to clear

nose from surface

Sup1ne Ly1ng (1)

·7 A

Prone Lying (2)

r:;: - f\ L\) I /~,

./

Lirts head symmetriCally to45'

Cannot maintain head in midline

Supine Lying (3)

Prone Prop

ElbOws behind shoulders Unsustained head raising

to 45•

(-~-:t_j Physiological flexion Head rotation: mouth

to hand

' '> -- <· '\ ~--- / _/!-J

- c:::_ -

Random arm and leg movements

Head in midline Moves arms but unable to

bring hands to midline

Supine Lying (2)

Head rotation toward midline Nonobligatory ATNR

Sitting With Support

I~

Lifts and maintains head in midline brleny

Supported Standing (1) Supported Standing (2)

.. •

May have intermittent hip and knee flexion

.>

Head 1n line with bOdy H1ps behind shoulders Variable movement of legs

Forearm Support (1)

Lifts and maintains head post 45•

ElbOW'S in line with shoulders

Chest centered

Supine Lying (4)

Prone Mobility . --..._

-.. ~. ·.,_)

Heodto90' uncontrolled weight shifts

Forearm Support (2)

ElbOW$ in front of shOulde Active chin tuck with nee

elongation

Hands to Knees

r t '-< ~ "-...._ .-.......

C~ .-~/'v_ Ned< Mxors acn~l'iltfmck Brings hands to midline

Chin tuck Reaches hands to knees Abdominols active

Sitting With Propped Arms

Maintains head in midline Supports weight on

arms briefly

Pull to Sit

\(c_J~E --- ,r'<; .;'"\

~-

Chin tuck: head in line or in front of body

Extended Arm Support

Arrm extended Chin tuck and chest

eleVated Late< at weight mitt

Rolling Prone to Supine WithOut Rotation

Movement initiated by head

Trunk moves as ooe unit

Hands to Feet

1 \ • I /)' .

Can maintain legs in mid-range

Pelvic mobllly present

Active Extension -,

Pushes into extension wilt! legs

Unsustained Sitting

·~

... tl

----'\ v · ' ::J .,. Scapular adduction

and humeral extension

Sitting Wift1 Arm Support

)~) / ~

I ---<;:~ '- -- · y ~-..

lhorocic spine extended Head movemE~nts free

Cannot maintain position irom trunk: propped on extended arms

Supported Standing (3) ,.-----, \ . "I ~~

\ 'v \ ,.,.-'" ·-· \S'~ _, '-J

Hips in line with shoulders Active control of lrU('lk Vo•ioble movements ol legs

Swimming

Reaching from Forearm Support

Active weight shift from one side

Contr<:>ted rooch with rreearm

Pivoting

Pivots Movement In arms

ondl&Qs Lateral trunk flexion

Aetlve extensor pottem

Unsustained Sitting Without Arm Support

Cannot be lett alone in Sitting in derln if ely

Rolling Supine to Prone Without Rotation

;:-, ~ )

~~ \1~

La tarot head righting rr._nk moves Cli one vnll

Walght Shift In Unsustained Sitting

Weight shift forward. bockword. or sidewovs

Cannot be left alone in sitting

Four-Point Kneeling C /-~

•'

r ._/ I 67\. v--· ~ '-"" ,-)

Legs flexed. abducted. and extemally rotated

Lumber IO<dosis Maintains position

Rolling Prone to Supine with Rotation

Trunk rotafjon

Rolling Supine to Prone with Rotation

Trunk rotation

Sitting Without Arm Support ( 1)

i. l ; cl .,.. i· ': ~.,· -~-- ..... .(.., )'1

Arms move away rrombody

Can ploy with a toy Can be left atone

in •itting

Reach With Rotation in Sitting

f \ \ '•'··

.... c}/' I - r--.

~' - J

SOts independer>~y Reaches lor loy witt

trullk rotation

pped Sidelying Reciprocal Creeping (1) Four-Point Kneeling (2)

~ . 1

.": ·-I>< t<' ';c 'l ,f M9Q:' uld<:'rt''lOJ,'V .rtior W'l~ r boc'v axir.

f,cL proc~:l\ '::.r .lWurg /.

·~ .>l ~ ,.-...- ,

J;;.._-1 ( / .j_.l '1_, .... ' ~. ~?

'->'

~ou1-Po,r• Yneell~g to Sl't1ng or "lulf S. t 'Y

•• ~I

>" •ys of rrx or M< y get 'C): 'firg

Wgs at:x:lu· too. a d o;~xt(<r lily •ototro

lur1oor lorJos: . w<J1Qr '"'f' ~a~ +a Jfl Nll'l ~o1"1.. ~,....· tr· JnK fl.ex l"lr

Re.::c'"l•r-g f•ol""' f)(l'~ rd .t.:l Arm :upiJc, t

I ~-

----\, .. 't.

'-~ "--......_...~. ./' ,,.,,/J ·~~

1-<lpSOiil;ir'l p<':.IIS

F1a++ n1rq ct o.onl:l<Jr s .. ..,e

RGctprocOI arm and lag movements with trunk roto~on

Raocnes with axtenctea arm Trunk roto~an

iitting to Prone

• I

~ove.s out of sitting to achieve prone lying

ulls wlh arms; legs iflOcfive

Pulls to Stand With Support

Pushes down 'o\llltl arms and e~tends knees

Pulls to Stand/Stands

Sitting to Four-Point Kneeling

Actively lifls pelvis. buttocks. and unweighted lag to assume four-point kneeling

Supported Standing With Rotation

..

Pulls to stand: shifts weight from siae to siae

Roto~on of trunk and pervis

Cruising Without Rotation

.1 -~

Crui}es ~deways Wi!houl rotation

Holt-Kneeling

May assume stan ding or· play in position

Mod.lfled F "lc.r PC'!r~t Kn.Jellrg

.• ,1' ,.

Ploys in positior\ May move forward

Sitting Without Arm Support (2)

• I

,..., .... . r

Position ot legs varies lntol'lt moves in and out

of positiOns easily

Controlled Lowering Through Standing

,~~

__ , . ; :

')

Controlled lowering •rorr stonairg

Crvsng With Roto••on

Stands AlOne

I ~ ' ~? :.,

I

.-\

Early Stepp!nQ

. :.. ~ ... : "S;

r<.. ... '

"'

Stand•ng from MQd,f,ed Squat

I' -, • • f.' I

'\...,..

' . .r . .~ ""' I

Moves from SQUOI to ~

Standtng from Quadruped PoSIIior

... _ ' .... ,

' ) - ' .,...,. ::· _, '- ,~ , ... ..

Pu$1\es ~u•c .rv w !1'1 1"101105 ro ge: 10 ~IO'Xl'OQ .>

7

Percentile Ranks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~

--5TH ·················· 10TH -----25TH ··········50TH --75TH 90TH