Postural control & gait dev red flag

Question 1

1-3 yrs postural control & gait red flag

Answer 1

Asymmetries present
Reluctance to bare weight at 12 mo.
Not independently walking by 18 mo.
Walking on toes

Question 2

3-10 yrs + postural control & gait red flag

Answer 2

Regression of gross motor skills at any stage
Not walking w/out support with good weight shift
Walking on tiptoes and/or hip adduction (scissoring)
Lack of variability of movement
Asymmetry or excessive ROM
Not climbing
Arms or legs seem stiff or stereotypes movements

Question 3

1-6 mo gross motor red flags

Answer 3

regression in gross motor skill at any stage
-> Plateaus in development expected, esp if the child is progressing in other areas
Lack of variability of movement
Asymmetry in movement
Lack of generalized movements
Not coming to midline or bringing hands to knees by 6 months
Arms seem stiff

Question 4

7-8 mo gross motor red flags

Answer 4

One or both hands remain fisted
Not bearing weight over feet

regression in gross motor skill at any stage
-> Plateaus in development expected

Lack of generalized movements

Asymmetry in movement

Question 5

9-10 mo gross motor red flags

Answer 5

not sitting independently or rolling

regression in gross motor skill at any stage
-> Plateaus in development expected

Lack of generalized movements

Asymmetry in movement

Question 6

11-12 mo gross motor red flags

Answer 6

not pulling to stand

regression in gross motor skill at any stage
-> Plateaus in development expected

Lack of generalized movements

Asymmetry in movement

Question 7

1-2 years gross motor red flags

Answer 7

not walking by/after 18 mo

reluctance to bear weight at 12 mo

Asymmetries present

walking on toes

Question 8

3 years gross motor red flags

Answer 8

asymmetries present

walking on toes

Question 9

7-8 mo fine motor red flags

Answer 9

one or both hands remain fisted

arms/movements seem stiff or shaky

Question 10

12 mo fine motor red flags

Answer 10

unable to grasp and release objects

Doesn’t bring objects/toys to mouth, put into a large
container or bang them together

Not able to feed self finger foods

Unable to hold bottle by themselves

Question 11

1-11 mo speech/communication development red flags

Answer 11

Intelligibility is how well a stranger understands what a child says

Rules for children:
1 yr: 25%
2 yrs:50%
3yrs: 75%
4 yrs: 100%

Significantly less - red flag

Voice:
Consistently harsh/hoars vocal quality
Breathy voice or aphonic breaks

fluency:
Chid expresses frustration or demonstrates tension/struggle
Child been stuttering >6 mo
Child stutters in middle of words, elongates sounds, or has breaks In speech
Older than 5

Question 12

12 mo speech/communication dev red flags

Answer 12

Doesn’t babble or make a variety of sounds (consonants and vowels)
Doesn’t use gestures (pointing., waving, Clapping)
Doesn’t seem interested in interacting, playing games like peek-a-boo
Doesn’t recognize common words (cup, shoe)

Question 13

2 yr speech/communication dev red flags

Answer 13

Says only one word at a time (no two word combos)
isn’t learning and using new words every month

Doesn’t follow simple directions

Doesn’t point to named pictures

Question 14

3 yr speech/communication dev red flags

Answer 14

mostly uses 1 word at a time
doesn’t have a word for most things
doesn’t ask questions
doesn’t draw attention to things
doesn’t understand opposites
unable to follow 2-step instructions

Question 15

3-5 yr speech/communication dev red flags

Answer 15

doesn’t speak in sentences
doesn’t use variety of pronouns
doesn’t name numbers/letters
unable to answer who/what/where questions
doesn’t know some colors and shapes
unable to follow multistep instructions
doesn’t understand most of what’s said at home or school
trouble making friends, having a give and take convo, fitting in

Question 16

5-8 yr speech/communication dev red flags

Answer 16

unable to tell about a recent salient event
trouble with categorizing/sorting
difficulty with temporal concepts (before, after, sequencing)
Unable to retell a story in a clear way
doesn’t get the social rules
doesn’t code switch

Question 17

6-9 mo social-emotional play red flag

Answer 17

no big smiles, warm, joyful expressions
difficulty with eye contact
regression

Question 18

12 months social-emotional play red flag

Answer 18

no response to any name
regression

Question 19

15 mo social-emotional play red flag

Answer 19

Limited social interaction or social avoidance
Ritualistic behaviors
Comprehension difficulties
Regression at any age

Question 20

4 y/o fine motor red flag

Answer 20

shaky/stiff movement
Weak arms/hands
Can’t cross across a piece of paper w scissors Can’t copy a cross (+)
Can’t draw a circle/straight lines by themself Can’t string 1⁄2 inch beads onto lace Can’t use fork/spoon well
Can’t put on own pants, loose socks & shoes

Question 21

5 y/o fine motor red flag

Answer 21

Movement shaky/stiff
arms/hands weak
Can’t cut along straight line
Not holding crayons/pencils w thumb/fingers Can’t draw circle, square, and cross (+) Can’t put on own shirt, pants, socks, and shoes (w help of fasteners)
Can’t feed self well w a spoon/fork

Question 22

3-5 y/o speech/communication red flags

Answer 22

Doesn’t speak in sentences
Doesn’t use variety of pronouns
Doesn’t name numbers/letters
Unable to answer simple who/what/where questions Doesn’t know some colors and shapes
Unable to follow multistep instructions
Doesn’t understand most of what’s said at home or in school Trouble making friends, having a give and take convo, fitting in

Question 23

5-8 y/o speech/communication red flags

Answer 23

Unable to tell about a recent salient event
Trouble with categorizing/sorting
Difficulty with temporal concepts (before, after, sequencing in general) Unable to retell a story in a clear way
Doesn’t get the social rules
Doesn’t code switch