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Childs Psycho-motor
Development
Neurologic Assessment.
Signs Of Deviations
Of Psycho-motor Development.
The categories of
adaptive behaviors:
1. General appearance:
General appearance of
a newborn
General hypotonus
(rag-doll baby)
Muscle Hypertonus
2. Neuromuscular system:
Muscular hypotonus of
the back muscles
The heel-to-ear
manoeuvre
Potential signs of
distress/major abnormalities
Hypotonia
Hypertonia jittery, arms and hands
tightly flexed, legs stiffly extended
Asymmetric posturing (except tonic neck
reflex)
Opisthotonic posturing arched back
Signs of paralysis
Tremors,twiches, and myoclonic jerks
Marked head lag in all positions
Opisthotonus
3. Assesment of reflexes:
3. Myelocephalic reflexes.
Rooting reflex
Babkins reflex
Defence reflex
Grasp
Moros reflex
Babinskis reflex
Trunk incurvation
(Galant) reflex
Peress reflex
Steps of neurological
assesment in infants and
elder children
1. Mental status
2. Motor functioning:
gross motor
fine motor
test muscle strength, tone, and development
test cerebellar functioning
3. Sensory functioning
4. Reflexes (deep tendon)
5. Cranial nerves
Sensory functioning
Psycho-motor
development of children
Gross motor behavior includes
developmental maturation in posture,
head balance, sitting, creeping,
standing, and walking.
First steps
At 16 months
Postural control
and co-ordinate
hand and finger
movements
Note the knock
knees and broad
base stance
At 3-4 years:
Fully controlled
posture