Does My Child Have Physical Developmental Delays?

​Physical developmental delays are when children aren’t doing activities (like rolling over, sitting without support, or walking) that other children their age are doing. Developmental delays can be a sign of a serious health condition, so it’s important to talk with your child’s pediatrician about them.

https://www.healthychildren.org/English/MotorDelay/Pages/default.aspx

#aap #development

👉Comparative Accuracy of Developmental Screening Questionnaires

📌Universal developmental screening is widely recommended, yet studies of the accuracy of commonly used questionnaires reveal mixed results, and previous comparisons of these questionnaires are hampered by important methodological differences across studies.

🔗https://jamanetwork.com/journals/jamapediatrics/fullarticle/2760904

#tools #assessment #development #scales #neurology

👉Idiopathic toe walking

🔗https://www.evidentlycochrane.net/idiopathic-toe-walking/

#evidentlycochrane #cochrane #toewalking #skills #development #orthopedics #neurology

👉Tummy Time and Infant Health Outcomes: A Systematic Review

📌RESULTS: Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI-z score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication.

LIMITATIONS: Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present.

CONCLUSIONS: These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.

🔗https://pediatrics.aappublications.org/content/145/6/e20192168

#tummy #development #neurology #aap #pediatrics

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👉Association of Poor Postnatal Growth with Neurodevelopmental Impairment in Infancy and Childhood: Comparing the Fetus and the Healthy Preterm Infant References

📌Poor neonatal growth categorized using fetal references showed stronger associations with long term neurodevelopment than poor growth categorized using the INTERGROWTH-21 st standards.

🔗https://www.jpeds.com/article/S0022-3476(20)30703-4/fulltext

#charts #growth #intergrowth #development #preterm #jpeds

📌From crawling to pointing to speaking, developmental milestones are especially important in early infancy & childhood. CDC has free Learn the Signs. Act Early. materials for pediatricians to share with families so they can track their child’s progress:

🔗https://www.cdc.gov/ncbddd/actearly/freematerials.html

#development #tools #cdc #resources #aap #neurology

One-third of surviving Extremely Low Gestational Age Newborns (ELGANs) classified as having profound neurodevelopmental impairment (#NDI) and nearly two-thirds of those classified as having moderate to severe NDI at 2 years had none to mild NDI at 10 years.

#development
https://doi.org/10.1542/peds.2020-001040

Parenting interventions for children during the first 3 years of life are effective for improving ECD outcomes and enhancing parenting outcomes across low-, middle-, and high-income countries

#development
doi.org/10.1371/journal.pmed.1003602
*The full text see in the comments

Among 5.5-year-old very preterm born children, subgroups can be distinguished with distinct outcome profiles that vary in severity, type, and combinations of deficits. This information is important for the #development of interventions that are tailored to the needs of large subgroups of children across multiple domains of functioning.

Overall, WM microstructural maturity measured through DTI metrics was reduced in preterm infants receiving the standard-of-care in comparison to full-term newborns, whereas preterm infants exposed to the #music intervention demonstrated significantly improved white matter maturation in acoustic radiations, external capsule/ claustrum/extreme capsule and uncinate fasciculus, as well as larger amygdala volumes, in comparison to preterm infants with standard-of-care.

#development
https://doi.org/10.1016/j.neuroimage.2019.116391

An important strategy to improve survival free of major neuro-developmental disability is to birth extremely preterm infants in a tertiary perinatal center, where specialist obstetric care for the mother and ongoing intensive care for the infant can both be provided without the potential morbidities associated with postnatal transfer.

#development
https://doi.org/10.1016/j.semperi.2021.151479

Among 5.5-year-old very preterm born children, subgroups can be distinguished with distinct outcome profiles that vary in severity, type, and combinations of deficits.

#development