RED FLAGS IN MOTOR DEVELOPMENT

It is important to start the engine to the assessment by observing the infant. Pay special attention to the hand; fisting persistent at the age of 3 months is often the earliest indication of the neuro-motor dysfunction. Spontaneous postures (eg, froglegs and scissoring) to provide visual cues to hypotonia / weakness and spasticity hypertonus, respectively. Delays in thea ppearance of postural responses announce the future delays in motor development voluntary. A baby is unable to sit or walk independently, without intact mechanisms for the protection and balance. Models of movement may indicate abnormal pathology. For example, in early turnover (1 to 2 months), firing directly into a booth at 4 months (instead of a sit), W-sitting, bunny hopping, and persistent toe walking may indicate spasticity. Hand domination before the age of 18 months should encourage clinicians to consider the contralateral upper extremity for weakness associated with hemiparesis.

Analysis of the information collected in these areas, it is relatively easy for the clinician to reassure himself (and parents) about a child's motor and identifying those motor skills at an early age. When a discrepancy engine has been identified, further evaluation of its exact nature and the cause is essential. This ensures almost always return to a team subspecialist or subspecialty. Based on the clinical examination and history, the usually astute clinician may decide which category falls the engine trouble: 1) static central nervous system disorders, 2) progressive diseases, 3) and spinal nerves Peripheral injuries, or 4) the structural defects.