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MRCPCH Clinical: Development

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Assessment of gross motor development » Essays
You have just examined Ethan who is now 3 years old and made a diagnosis of gross motor delay. What are the warning signs of gross motor delay. When will you consider investigations or referral in a child with gross motor delay.
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It is important that developmental delay is picked up early so that appropriate support can be instituted. The following are warning signs of gross motor delay.

  1. Persistent asymmetrical tonic reflex beyond 6 months

  2. Maternal /parental anxiety- Parents are usually a better judge of their child's development.

  3. Increased tone

  4. Microcephaly

  5. Brisk reflexes or clonus

  6. Significant head lag at 6 months

  7. Inability to roll at 6 months

  8. Persistence of primitive reflexes at 6 months

  9. Child unable to sit at 9-12 months

  10. Unable to stand at 18 months

  11. Not walking by 2years

  12. Asymmetrical signs(tone, power, reflexes) at any age