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You have just seen Joseph who is now 3 years old with his mother Susan. You think Joseph has gross motor delay and have discussed this with his mother. What are the differential diagnosis of gross motor delay?
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It is important to know the differential diagnosis of gross motor delay and how you will investigate and manage gross motor delay.
1) Familial or delayed motor maturation
a. There is usually a family history of gross motor delay. There is no other associated delay. The children eventually gain appropriate skills
2) As part of global developmental delay
a. Associated fine motor delay or speech and language delay or delay in social and interaction skills.
3) Neuromuscular disorder
a. Muscular dystrophy- Duchens Muscular, Beckers muscular dystrophy
b. Causes of hypotonia- Prader-Willi syndrome, Down’s syndrome, undiagnosed causes
4) Environmental
a. Social deprivation
b. Prolonged hospitalisation and periods of being unwell
5) Progressive metabolic disorder
6) Visual impairment
7) Rickets
8) Spina bifida
9) Undiagnosed/ Unknown
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