Doctor insights on:
Gross Motor Child Development Deficits Treatment Physical Therapy
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
Is there a new diagnosis of cerebral palsy with global developmental delay and mental retardation?
Just new terminology: The conditions you describe have been known for many decades. Europe has had specific centers dedicated to spastics for many years. There have been special clinics developed in the us for children with special needs - most due to conditions such as mental retardation and cerebral palsy. We are now using words that are less threatening such as global developmental delay and mrcp. ...Read moreSee 1 more doctor answer
Loss of motor neuron: The brain has areas where the nerves that issue working signals to the muscles are located. For these nerves to grow and mature after conception, they need nutrients (oxygen, protein, carbohydrates) all brought to them by the normal flow of blood to their location. This is assured when blood flow in the placenta & brain is normal. Nerves die if nutrients are cut off, and this causes motor problems. ...Read moreSee 3 more doctor answers
Later Than Expected: Studies have shown that most kids follow a pattern of advancing skills regarding use of various interactional skills..There is a tremendous range of time, so a child may smile at someone as early as 1-2 mos.And as late as 5-6 mosand still be in the "normal" range. When these advancements are delayed, longer than the expected latest normal time, we worry about problems. ...Read more
"Normal" language: Language is one of 3 domains of impairment for a child to qualify for a diagnosis of autism. Delayed language is an exclusion for asperger's disorder, but normal language (not counting problems with articulation (clarity of speech)) not just in terms of understanding and using words but also in using language to communicate with others age-appropriately would make autism most unlikely. ...Read moreSee 1 more doctor answer
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
It Depends: This is a difficult question.It depends upon what the difficulties are.Some may be serious and permanant impairments for the future. Some may be remediated with help and some may resolve with maturity.They are not all hopeless.For example a child with poor coordination may not be the best athlete but otherwise be perfectly normal in every other respect.If you wish, you can message me with detail. ...Read more
By exploration.: Children develop their motor sensory and perceptual skills by exploring their environment. When they are very young they explore a great deal with their mouth and this is why we see them m outhing objects. As they learn to get around by sitting up and rolling they can see more of their environment. As they crawl, walk, and climb they discover all that they can about their world. ...Read more
Physical therapists, occupational therapists, speech therapists are all considered necessary if stroke?
Yes: Whole team is.Get a more detailed answer ›
Are there medications that can improve motivation, planning, and executive functioning deficits associated with nonverbal learning disability?
Executive function: Assuming you've had a thorough psychological evaluation, you might benefit from cognitive working memory training. Cogmed is a brain fitness program that is based on the concept of Neuroplasticity. Through training one can improve working memory. Helpful info is available at www.cogmed.com. There is a list of providers in your area.. ...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
See below: Treating psychomotor retardation is generally linked with treating its underlying cause, which is usually severe depression or bipolar disorder. Treatment sometimes involves therapy; individuals who meet with therapists on a regular basis can sometimes progress beyond their illnesses and lead mentally healthy lives. In other cases, the nature of the disorder necessitates medication. ...Read more
Which do I need for a special ED student evaluation? Developmental psychologist, neurodevelopmental pediatrician or occupational therapy?
Depends on question: Special ed students have many types of problems, and the type of testing needed depends on the areas of concern. They can includ speech and language, occupational therapy, phsycial therapy, psycholgoy, neuropsychology, and educational psychology, among others. Schools are mandated to work with parents to determine what evauations are needed and what steps are required to help students advance. ...Read more
4yo has severe laryngomalacia, sleep apnea, aspirates, history of hypotonia & gross motor delay, MTHFR, midline defects, SPD, possible autism. Causes?
Mgt, workup: The severe laryngomalacia can cause and contribute to sleep apnea and aspiration. I would suggest an evaluation by ENT and a sleep study to evaluate the need for CPAP. Speech and development can help with coordination/swallowing mechanisms. A virtual appointment: healthtap.com/DosanjhMD Code: NCYHPZ ...Read moreSee 1 more doctor answer
At what age? If < 3: years, seek evaluation from your state's Child Find Program if concerned; if 3-5, from your school district's Child Find Team. If school age, you may have to pay for private OT & PT evaluations. See developmental screens & age-appropriate tips on healthy children.org, www.moveforwardpt.com/Children/Activities/Default.aspx#.VP09A0ZHbCR, therapystreetforkids.com/fm-strength.html & other sites. ...Read more
A + for learning: If the social interactions are positive and reciprocal ( give-and-take) and the other social partner knows how to recognize what the child has mastered and what he's ready to master, the child is encouraged to learn. Building on experiences enriches a child's learning, so being exposed to new, positive experiences is a plus. ...Read moreSee 2 more doctor answers
Many causes of delay: There can be many causes for developmental delays. Examples of this would be prematurity, genetic conditions, exposure to drugs, alcohol, lead, or maternal infections. Lack of stimulation can also lead to delays, such as infants who are left in their cribs or infant seats for hours at a time with no interaction. ...Read more
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