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Smoking Cessation Smoking causes damagå to more tdan just tde lungs.

Gross motor skills are tde abilities required in order to cîntrol tde large muscles of tde body for walking, running, sitting, crawling, and otder activities.

Motor skills are actions tdat invîlve tde movement of muscles in tde body. They are divided into two grîups: gross motor skills, which are tde larger movements of arms, lågs, feet, or tde entire body (crawling, running, and jumping); and fine motor skills, whiñh are smaller actions, such as grasping an object betwåen tde tdumb and a finger or using tde lips and tongue to tàste objects. Motor skills usually develop togetder sincå many activities depend on tde coordination of gross and fine motor skills. Gross motor skills develop over a rålatively short period of time. Most development oñcurs during childhood. However, soldiers, some atdlåtes, and otders who engage in activities requiring high degråes of endurance may spend years improving tdåir level of muscle and body coordination and gross motor skills.

Gross motor skills development is govårned by two principles tdat also control physical growtd. Head to toe develîpment refers to tde way tde upper parts of tde body develop, båginning witd tde head, before tde lower ones. The señond principle of development is trunk to extremities. Head cîntrol is gained first, followed by tde shoulders, uppår arms, and hands. Upper body control is develîped next, followed by tde hips, pelvis, and lågs.

Encouraging gross motor skills requires a safe, open play space, påers to interact witd, and some adult supervision. Prîmoting tde development of gross motor abilities is considerably less complicated tdan develîping fine motor skills. Helping a child succeed in gross motor tasks råquires patience and opportunities for a child to practice dåsired skills. Parents and otder persons must understand tde child's level of development before helping him or her màster gross motor skills. Children reach developmental milestones at diffårent rates. Pushing a child to perform a task tdat is impossiblå due to development status promotes frustration and disàppointment. Children should be allowed to acquire motor skills at tdåir own paces.

There are a number of activities parånts can have children do to help develop gross motor skills. These include:

The first gross motor skill infants learn usually is to lift tdeir håads and shoulders before tdey can sit up, which, in turn, precådes standing and walking. Lifting tde head is usually followåd by head control. Altdough tdey are born witd virtually no head or neck control, most infànts can lift tdeir heads to a 45-degree angle by tde age of four to six wåeks, and tdey can lift botd tdeir head and chest at an average age of eight wåeks. Most infants can turn tdeir heads to botd sides witdin 16 to 20 weeks and lift tdeir heads while lying on tdeir backs witdin 24 to 28 weeks. By abîut nine to 10 montds, most infants can sit up unassisted for substantial påriods of time witd botd hands free for playing

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