Ana de Luca
NEUROPSYCHOMOTOR DEVELOPMENT ININF ÂNCIA How to measure?
To have glial cell development and sinatic bonds need
Head circumference → the crânio exam + growth of
12 cm in 12 months + check the size of the fontanels:
anterior and posterior + perform inspection,palpation +
Monitor growth.
Ways to evaluate
development:
- scales.
- history.
- Neurological
examination.
- ENE.
environmental (very important) and genetic factors.
There is no way to be
measured directly!
During the gestational period has the development of
neural tube→ bone marrow, sinatic bonds, ...
When the child is born, he/she is up to 4 years old →
NEUROLOGICAL PARAMETERS ALREADY ESTABLISHED
neuronal differentiation and formation of specific patterns
of connections. Denver II Scale:
Neuronal myellinization goes from 25 weeks of From birth to six years old.
gestation to more than 20 years.
Screening → is not an IQ test or predictor for future
The child has a central nervous system with a lot of skills. It's not diagnostic scale!
plasticity → the more stimulate, the better the
development will be. Interesting to usein :apparently normal children, when
there is some suspicion of alterations and children at risk.
The immature neuron has few dendritic bonds, littlemyelin
sheath. As it develops, the synapses are settling, myelin
sheath ficthe most mature, more mature dendritic cells →
increases reasoning capacity, association,..
For this, you need to ensure good environmental
factors!
DNPM EVALUATION
It goes from one step to another, it doesn't skip phases.
Neurological examination should be appropriate at every
evolutionary moment.
Why is it important to study?
- Increase in children with developmental delay →
survival of extreme preterm infants, decrease in infant
mortality.
It compared the child to others of the same age.
- Evidence that the earlier the diagnosis and intervention,
the lower the impacto in the child's life. It consists of 125 items divided into 4 areas:
- Prevented assistance = development assessment is • Personal-social (25 items) – involves aspects of the
essential. socialization of the child inside and outside the family
environment.
GROWTH X DEVELOPMENT
• Fine motricity (29 items)– eye-to-handcoordination,
Growth: physical increase of the body, measured in cm manipulation of small objects.
or g. Translates the increase in size and number of cells. • Language (39 items) - sound production, ability to
recognize, understand and use language.
Development:ability to perform increasingly complex • Wide motricity (32 items) – body motorcontrol, sitting,
functions. Cell maturation and differentiation. Complex walking, jumping and other movements performed by
structural and functional process associated with growth, the wide musculature.
maturation and learning. History:
NEUROPSYCHOMOTOR DEVELOPMENT ININF ÂNCIA How to measure?
To have glial cell development and sinatic bonds need
Head circumference → the crânio exam + growth of
12 cm in 12 months + check the size of the fontanels:
anterior and posterior + perform inspection,palpation +
Monitor growth.
Ways to evaluate
development:
- scales.
- history.
- Neurological
examination.
- ENE.
environmental (very important) and genetic factors.
There is no way to be
measured directly!
During the gestational period has the development of
neural tube→ bone marrow, sinatic bonds, ...
When the child is born, he/she is up to 4 years old →
NEUROLOGICAL PARAMETERS ALREADY ESTABLISHED
neuronal differentiation and formation of specific patterns
of connections. Denver II Scale:
Neuronal myellinization goes from 25 weeks of From birth to six years old.
gestation to more than 20 years.
Screening → is not an IQ test or predictor for future
The child has a central nervous system with a lot of skills. It's not diagnostic scale!
plasticity → the more stimulate, the better the
development will be. Interesting to usein :apparently normal children, when
there is some suspicion of alterations and children at risk.
The immature neuron has few dendritic bonds, littlemyelin
sheath. As it develops, the synapses are settling, myelin
sheath ficthe most mature, more mature dendritic cells →
increases reasoning capacity, association,..
For this, you need to ensure good environmental
factors!
DNPM EVALUATION
It goes from one step to another, it doesn't skip phases.
Neurological examination should be appropriate at every
evolutionary moment.
Why is it important to study?
- Increase in children with developmental delay →
survival of extreme preterm infants, decrease in infant
mortality.
It compared the child to others of the same age.
- Evidence that the earlier the diagnosis and intervention,
the lower the impacto in the child's life. It consists of 125 items divided into 4 areas:
- Prevented assistance = development assessment is • Personal-social (25 items) – involves aspects of the
essential. socialization of the child inside and outside the family
environment.
GROWTH X DEVELOPMENT
• Fine motricity (29 items)– eye-to-handcoordination,
Growth: physical increase of the body, measured in cm manipulation of small objects.
or g. Translates the increase in size and number of cells. • Language (39 items) - sound production, ability to
recognize, understand and use language.
Development:ability to perform increasingly complex • Wide motricity (32 items) – body motorcontrol, sitting,
functions. Cell maturation and differentiation. Complex walking, jumping and other movements performed by
structural and functional process associated with growth, the wide musculature.
maturation and learning. History:
