Approach to a child with developmental delays: Flashcards
(65 cards)
what is developmental delay?
i. Failure to attain appropriate developmental milestones for child’s corrected chronological age.
ii. Can correct up to 2 years for a child grown pre-mature
what are the patterns of abnormal development?
i. Delay (global – Down’s syndrome and specific – Duchenne’s muscular dystrophy)
ii. Deviation (autism spectrum disorder)
iii. Regression
at what age are deviant patterns of development looked at specifically?
27 months
what is delayed abnormal development?
achieves it but later on only
what is deviation?
not just a simple delay, they may just do things slightly differently
what is regression?
i. It is a loss of previously acquired skills
ii. Very worrying
iii. Looks like they are developing normally but if they get a disease and they get over it might stop doing things the right way
what condition is an example of regression?
Retts syndrome - more predominant in girls, girls lose their ability to walk, in born biochemical problems
what percentage of UK children have autism spectrum disorder?
1%
what percentage of UK children have a mild learning disability?
1-2%
what percentage of UK children have severe learning disability?
0.3-0.5%
what percentage of UK children have a specific learning disability?
5-10%
what is the range for mild learning difficulty?
50-70 IQ
what is the range of IQ for moderate learning difficulty?
35-49 IQ
what are the red flags for development?
asymmetry of movement not reaching for objects by 6 months unable to sit unsupported by 12 months unable to walk by 18 months no speech by 18 months concerns regarding vision or hearing loss of skills
what is asymmetry of movement?
- Usually we are right handed more than left handed, but in this case they are ignoring the use of one hand completely
- Haven’t grown over the parachute reflex in one hand
not reaching for objects by 6 months?
- Is there a problem with their vision?
- Is there a problem with their motor skills?
- Is there less interest in interaction?
unable to walk by 18 months?
- CK a small number of children may have a form of muscular dystrophy
- Most will go on to walk but that is the time when we want to pick up diseases asap
what range of children are affected by global developmental delay?
significant under 5’s
how many skills should be affected in global developmental delay
Significant delay in 2+ of:
i. gross/ fine motor, speech/ language
ii. cognition. Social/personal, ADL
do children usually catch up with the delay in global developmental delay?
i. They say that children usually catch up, but it later on it increases the gap btw them and a child with a normal IQ
ii. 6 months delay/ 2 years roughly 6 year level at 8 y/o, and 12 year level at 16 y/o
iii. The gap widens and many a times the kids won’t be able to live independently
what are the two types of delay?
global and specific
what is an example of global delay?
Down’s syndrome
what is an example of specific delay?
Duchenne’s muscular dystrophy
how common are genetic causes in global developmental delay?
common 5-25%