HOW ARE DELAYED MILESTONES LINKED TO CHILD DEVELOPMENT? PARENTS NEED TO KNOW ABOUT IT!

HOW ARE DELAYED MILESTONES LINKED TO CHILD DEVELOPMENT? WHY DO WE AS  PARENTS NEED TO KNOW ABOUT IT!

WHAT DO YOU MEAN BY MILESTONES?

Milestones are the physical skills seen in infants and children as they grow and develop. Rolling over, crawling, walking, and talking are all considered milestones. However there is a slight difference in the normal range of each milestone as it varies from child to child.

The most important thing as a parent is to closely watch your child’s development and make a checklist of the milestones to make a record of child’s development.

ARE MILESTONES DIFFERENT FROM ABILITIES?

YES! Milestones are different from ablilities.

Abilities are those extra skills which your child should be developing. Daily activities, expression, social skills,  co -ordination etc are considered according to the age and category.

.Whereas milestones are the compulsory checkpoints which your child should reach in terms of overall development.

WHAT ARE THE CHECKLISTS WHICH A PARENT SHOULD MONITOR IN THEIR CHILD FOR SCREENING DEVELOPMENTAL DELAYS?

There are various aspects of development which a parent should monitor in a child.

Development in terms of social skills

 0 to 2 month- Establishes eye contact.

0 to 3 month –  Enjoys physical contact and touch

3 to 4 months- develops a social smile

3 to 6 months- enjoys social play

9 to 12 months- plays with toys

9 to 12 months – explores environment.

 

INTELLECTUAL DEVELOPMENT IN INFANCY

 

Here are the stages of intellectual development in infancy. Early identification helps in early rehabilitation.

 

# 3 months-   babies make noise to the verbal input.

# 9 months-   babies start making sounds, understands a couple of simple words used by mother for eg “no”, “yes”, “bye” etc. Repeating syllables like “mumma”, “dada”

# 12 months-  babies start knowing their names and respond to it. Understands daily commands given by mother or caregiver for eg “ come here” , “give back to mummy” etc

# 15 months-   can say a few more words and understand few more commands for eg “ keep it there” .

# 18months-   try to join few words and make simple sentences.

# 2  yrs-    can use more than 50 words.

# After 2 yrs-     can use more than 200 words. Asks questions all the time.

IDENTIFICATION OF CHILDREN WITH AUTISM SPECTRUM DISORDERS. WHY?

Awareness of autism has increased in recent years. early signs of diagnosis and intervention support better outcomes in children whose conditions are diagnosed early and who participate in intervention programs. One of the challenges in recognizing ASDs is the wide heterogeneity of features in individual children. Developmental screening  should occur at every preventive visit throughout childhood. In addition to standardized screening for all children at nine, 18, and 24 or 30 months, the American Academy of Pediatrics (AAP) recommends screening if any developmental concerns arise.

Pre speech Deficits Common in Children with Autism Spectrum Disorders

Decreased or absent use of prespeech gestures (e.g., waving, pointing)

Delayed onset of babbling past nine months of age

Disregard for vocalizations (i.e., lack of response to own name), yet awareness of environmental sounds

Lack of appropriate gaze

Lack of expressions such as “oh-oh” or “huh”

Lack of interest or response to neutral statements

Lack of recognition of mother’s (or father’s or consistent caregiver’s) voice

Lack of the alternating pattern of vocalizations between infant and parent that usually occurs at approximately six months of age

Lack of warm, joyful expressions with gaze

Source- American Association of pediatrics

If your child does have developmental delays,  early intervention can  lead to more successful outcomes. These  checklists can be used by parents and teachers of children from birth to 48 months of age.These are the few checkpoints discussed by us for the parents as we all realize the importance of childcare and overall growth of the child.

Author – Indira Shivani G, M.P.T

Author is a physiotherapist with experience of 9 Years

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