GROWTH AND DEVELOPMENT

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Presentation transcript:

GROWTH AND DEVELOPMENT 儿童生长发育

REGULAR PATTERN OF GROWTH AND DEVELOPMENT A continuous process Different rate of development in various systems General pattern Individual variance Puberty 13 yr (F)/15yr(M)

Different rate of development in various systems

FACTORS OF GROWTH AND DEVELOPMENT Genetics Gender Endocrine Pregnant condition Nutrition Living environment diseases

PHYSICAL GROWTH weight ≌3kg newborn 1 to 6 mon 7 to 12 mon 2 to 12 yrs W(kg)=newborn weight (kg)+month×0.7 (kg) W(kg)=6 (kg)+month×0.25 （kg） W(kg)=yrs ×2 (kg)+7 or 8 （kg） newborn 1 to 6 mon 7 to 12 mon 2 to 12 yrs

PHYSICAL GROWTH Height newborn 50cm ↑25cm 0-1yr H (cm)= yrs×7+70 (cm）

Head circumference (HC) PHYSICAL GROWTH Head circumference (HC) 34cm newborn 46cm 1yr 2yr 48cm 5yr 50cm

Chest circumference (CC) PHYSICAL GROWTH Chest circumference (CC) Newborn 32cm 46cm 1yr CC=HC

PHYSICAL GROWTH Skeleton development 1~1.5 yr closure Anterior fontannel Teeth development 6mon first tooth 20 Deciduous teeth 30mon

ASSESSMENT OF GROWTH Standard (SD) Mean (X) ＆ Normal distribution ±1SD 68.3% ±1SD 95.4% +2SD 99.7% +3SD

ASSESSMENT OF GROWTH P3-P97 Percentile Weight for age Growth chart 95% Growth chart Weight for age Height for age Multiple indicators Weight for height

Growth Curve (Boys)

Growth Curve (Girls)

NEURO-PSYCHOLOGICAL DEVELOPMENT Sensation and perception 6yr 1.0 3-4yr vision 0.7 1yr 3m 3mon 180°level Newborn 20cm

NEURO-PSYCHOLOGICAL DEVELOPMENT Sensation and perception Hearing mature 4yr Audition 2yr Following simple direction 1yr Knowing his/her name 3mon Turning head to sound Newborn Hearing

NEURO-PSYCHOLOGICAL DEVELOPMENT Motor Walk alone 15mon Gross motor 9mon Creep＆ Standing with support 6mon Sitting 3mon Lift head

Lift head Lift head Sitting Crawing

Standing Walk Jump Run

NEURO-PSYCHOLOGICAL DEVELOPMENT Motor 9mon Scribble 3mon Fine motor Thumb-finger grasp 6mon Transfer object 3mon Grasp object

NEURO-PSYCHOLOGICAL DEVELOPMENT age receptive expressive 6m Name Babble 12m Familiar object name Pharases Simple needs Repeat sound “ba ba” /“ma ma” 15m ~18m Body part Following simple direction Pointing 15~20 words 24m People/object Pictures Name/object/pictures 300 words 36m 2~3directions sex identity Sentences More words 48m Differenciate colors Following 2~3 directions Telling stories Describing things Language

NEURO-PSYCHOLOGICAL DEVELOPMENT Thinking Imagination Will Emotion Personality Personal-social behavior

ASSESSMENT AND BEHAVIORAL DEVELOPMENT Intelligence Abilities of recognizing the world and dealing with the environmental change Intelligent quotient (IQ) Development quotient (DQ)

ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Visual-space orientation Tempory-order Memory Speech language Single developmental screening tests

ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Denver Developmental Screening Test,DDST Drawing-a-man test Peabody Picture Vocabulary Test,PPVT Abilities tests Screening tests

ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Bayley Infant Development Test Gesell Development Test WPPSI WISC-R SM Abilities test Diagnostic tests

DIVIATION OF GROWTH Weight Height Head circumference Tall status Stunt Overweight >2SD or 97 Percentile Underweight <2SD or 3 Percentile Weight Height Tall status Stunt Head circumference

PSYCHOLOGICAL DISORDER Developmental-behavioral problems Breath holding Learning disorders Enuresis Biting thumb Defiance Speech and language disorders Lying Temper tantrums Mental retardation Sleep disorders

谢谢！ Thank you