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  • Motor Delay

    Motor Delay

    Dr Karina Lim from the blog site little folks 

    November 13, 2017

    Developmental coordination disorder (DCD) or dyspraxia is a disorder where children have difficulty with coordinated motor skills. Children with DCD are often seen as clumsy. They have difficulty with a combination of fine motor skills (eg. handwriting, tying shoelaces) and gross motor skills (eg. walking, jumping). As a result, these children may struggle with day-to-day activities at home and at school. It is estimated that 10% of children entering primary school are affected by DCD.

    Cerebral palsy is a permanent physical disability that affects muscles and movement. It is caused by damage to the developing brain either during pregnancy or shortly after birth. 2 in 1000 babies are affected by cerebral palsy.

    Genetic disorders can also cause motor delay. These are often associated with other problems like poor growth and delays in speechlanguage, and cognition. Most genetic disorders are present from birth and are quite rare, affecting one in several thousand or million. They may be inherited from the parents’ genes or may be from a new gene mutation.

    Gross Motor Milestones

    4 months

    • Rolls over front to back

    • Can do a mini push-up

    6 months

    • Rolls over back to front

    • Sits without support

    9 months

    • Pulls self to stand

    • Comes to sit from lying

    • Crawls

    1 year

    • Walks independently

    • Stands

    18 months

    • Walks backward

    • Runs

    • Walks up steps with hand held

    2 years

    • Rides on toy without pedals

    • Jumps up

    2.5 years

    • Begins to walk up steps alternating feet

    3 years

    • Pedals

    • Climbs on and off furniture

    4 years

    • Climbs stairs without support

    • Skips on 1 foot

    Fine Motor Milestones

    4 months

    • Hands unfisted

    • Plays with fingers in midline

    • Grasps object

    6 months

    • Reaches for objects and transfers

    • Rakes small object with 4 fingers

    9 months

    • Picks up small object with 3 fingers

    1 year

    • Puts 1 block in a cup

    • Bangs 2 objects together

    • Picks up small object with pincer grasp

    18 months

    • Scribbles

    • Self-feeds with minimal assistance

    • Dumps small object from bottle

    • Builds tower of 2 blocks

    • Puts blocks in a cup

    2 y

    • Builds tower with 3 blocks

    2.5 years

    • Imitates horizontal and vertical line

    • Builds a train with a chimney with 4 blocks

    3 years

    • Copies a circle drawing

    • Draws a person with head and one other body part

    • Builds a bridge with 3 blocks

    4 years

    • Draw a person with 6 parts, simple cross

    • Able to do up medium-sized buttons

    When to seek help

    Be concerned if:

    • at 5 months or older your baby’s head still lags back when you pull him/her into a sitting position

    • by 7 months your baby can’t sit without help or roll in both directions

    • by 9 months your baby can’t get into a sitting position by himself, or is not using both hands to grasp objects

    • by 18 months your child does not walk well by himself, can’t get up off the floor by himself, or not able to pick up small objects

    • by 2 years your child can’t run well, it is hard for your child to run, or if she moves her arms and upper body a lot and has a ‘funny’ way of running

    • by 3.5 years your child can’t easily walk up and down stairs or needs to rest a lot when walking up and down stairs

    • your child loses gross or fine motor skills they once had

     

    NOTE: The gross and fine motor milestones listed here are taken from an American Academy of Paediatricspublication aimed at healthcare professionals. If you have any concerns about your child’s motor development, or any other aspect of their development, please speak with your doctor.

    If you have questions book in with Dr Karina Lim . Make an appointment by calling us in Sydney on (02) 9233 3399 or book online.

    Useful Links

    ChildMuscleWeakness.org

    Cerebral Palsy Alliance

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