Doctor insights on:
Developmental Delay Of Precise Movements Fine Motor Movements
We expect babies and children to be able to do certain things by certain ages. We know not every child is the same, and also have to take into account things like prematurity. For instance, most babies are pulling up on furniture and attempting to take a first step around their first birthday. If they get to 15-16 months and aren't doing it, we say that's a delayed ...Read more
Lack of advances: Motor delay can be fine and/or gross motor delay, and gets evaluated at every pe. It starts with the baby not reaching for things, not holding their head up, and as they get older, the child will not manipulate objects well and will not stand or walk. Definitely a concern! ...Read more
Problematic Maybe: Studies have shown that most kids follow a pattern of advancing skills regarding use of various muscles.There is a tremendous range of time, so a child may walk as early as 7-8 mos and as late as 18-20 mos and still be in the "normal" range. When these advancements are delayed, longer than the expected latest normal time, we worry about problems. ...Read more
Started when younger: Gross motor delay doesn't start as a teen. Such delays would've been noticed and diagnosed long before (hopefully). However, if there is a loss of gross motor skill then a neurologist must be consulted to look into new onset neurological/neurosurgical problems - sooner rather than later. ...Read more
Is palilalia more often related to tourette's or autism spectrum? My child has asd and multiple motor tics started palilalia 6+ months ago.
Statistics unavailab: Palilalia can occur in both. Reports would implicate tourette's as most common, but it has been reported in autism and asperger's. Formal comparative incidence studies appear to be unavailable at this time. Perhaps one of my colleagues in research will comment further. ...Read moreSee 1 more doctor answer
Standardized tests : for assessment of fine motor skills exist for all age groups. Occupational therapists assess the developmental level of skills & the quality of movement. The Peabody Developmental Motor Scales 2, birth-5 defines degree of impairment in kids with neurological abnormalities or risk factors for fine-motor delays. http://www.guideline.gov/content.aspx?id=47480 lists efficacy of various therapies. ...Read moreSee 1 more doctor answer
Brain development : from 3 weeks after conception - 25 years dictates developmental trajectory in all streams. Typically, neurons form, migrate to correct positions in the cortex & send out axons & dendrites in correct paths to transmit signals across synapses. From then on, environmental input is key, because experience- dependent neural activity, aka LEARNING, modifies synapses & eliminates unnecessary ones. ...Read more
Needs evaluation!: Bring your toddler in to your pediatrician and voice your concerns about his development. We screen for a variety of early behaviors that increase risk. Does your child smile and interact with others? Does he gesture and point? Does he seem to understand what you say? How is his hearing? Does he have good eye contact with you and others? What does his preschool teacher think? Best of Luck! ...Read moreSee 1 more doctor answer
Usually affected: Most children with autism have fine motor skills that are delayed and for some they never catch up even with years of therapy. This can make writing difficult as well as buttons, zippers, socks and even flushing a toilet. When a child is young it is important to address with therapy but also to remember that there are often other more useful skills they can acquire in spite of this deficit. ...Read more
Learning is directly: related to cognitive ability; motor planning is an executive function. However, research done in Holland did not find a 1:1 correlation between IQ & fine motor (f.m.) skills. It did find an average 10-point decrease in scores on f.m. tests for every standard deviation or 15-point decrease in kids with IQ scores below 85. ~ 70% of people have IQ's of 85-115, the low-average- high average range. ...Read more
Autistic spectrum 8yr old girl shows myclonic jerking upper body only while awake on video eeg. Same as stereotpyies, autistic stim or flapping?
Tics? If all the : Studies were normal, remember that 11% of children with ASD have tics. The latest studies show that kids with adhd who develop tics on the stimulants methylphenidate (concerta) ; amphetamines usually have an underlying tic disorder, so the meds unmask tics rather than induce them. Compulsions? Maybe, but usually not myoclonic. Adding Intuniv for adhd may reduce them, if they are complex tics. ...Read more
Little vs. big: Fine motor skills involve small movements (fingers, toes, lips, wrists, tongue) such as picking up a raisin, grabbing a cup. Gross motor skills involve larger muscles (arms, legs, trunk, feet) and big movements such as running, jumping, hopping, walking. ...Read moreSee 1 more doctor answer
Delayed development: There are many kinds and many underlying causes, but the bottom line is this: a child can have difficulty learning to talk, a child can have difficulty learning to understand, or any combination of both. What is done about it depends both on the cause and the individual child. For instance, if the delay is because of impaired hearing, then improving the hearing will help. ...Read moreSee 2 more doctor answers
Had polysomnography. Please explain: increase in phasic motor activity w/o stereotypical behaviors seen during REM sleep. ?
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