Hi this is Dr. Cate Crowley fromTeachers College Columbia University in New York City with my co-authors GabbyStern and Tiffany Neira and the alumnu aides Gabriella Amaya and StefaniaMarchitelli. We have created a series of webinars on developmental milestones, birth through three, and the wide range of normal. These are based on the CDCdevelopmental milestones. I do, in this one, include the New York statedevelopmental milestones for motor, fine, and gross machine, time “youre seeing” the thekind of issues. It’s a little slippery when you’re trying to learn thatinformed clinical opinion on what is typical development because how it’sdescribed you really have to look at kids.It’s like reaching for something orbeing able to find something that’s hidden that’s can start as early as fivemonths and then you can go until three years where they’re really going toscavenger hunt or something like that. 15 and scavenger hunt. So we talk aboutthe wide range of normal and CDC passes a specific monthwhen something happens, but of course that’s not the case, and we’ll look atthat a little more. So the New York State Department of Health clinical practiceguidelines, they have motor milestones, and between six weeks to four monthsthis is what they expect gross motor: Hold the ability erect, turn from back toside, prop a rattle, and reachings for a jiggle object with both sides. The CDC: At two months they can hold the head up and begin to push up when lying on theirtummy. They draw smoother movements with their limbs and legs. Have a examine. They were able to hold their head up unsupported byfour months old-time. They can push down hard-bitten on their legs and feet when they’re on ahard face, and at four months they may be able to roll over tummy to back.You start to expect that between you are familiar with four to six months.They can holdthe toy and shake it and shaking at jiggling playthings. They too drawing theirhands to their cavities. Let’s have a look. When they’re demand lying on their tummy, they’ll push up on their joints, also at four months. Now we’ll look at the clinical practice guidelines from New York StateDepartment of Health for four to eight months. This is what we look to seehappen: the early reflexes fade away as infant reflexes, they can hold their headsteady now , now they can definitely roll from backto tummy, they can sit unassisted, with their penalty machine they can pick up a cube, they can bang playthings together, and they can use the thumb and forefinger grasp.Solet’s see: her they can roll over in both directions at six months. They can sit withoutsupport. These are the CDC specifications: they are unable stand and support their weighton their legs and they might do a bit bouncing, have a look … They can rock back and forth, sometimescrawling backwards before is progressing. Now let’s look at the CDCguidelines from eight months to twelve months, gross engine: they’ll start tocrawl on their hands and knees, they’ll stand alone, they’ll walk with help, they’ll stack two cubes, and they’ll release their hold on their objects. Theycan use a pincer appreciation and they can hold a crayon. Now we are: they’re standing withholding on, sitting without support, they can get themselves into asitting position, let’s have a look … Pull themselves up to a stand, he looks likehe’s just about ready to pull himself up. These are nine months: they start tocrawl. All right then we move to the New York State Department of Health ClinicalPractice Guidelines 12 to 18 months: Throw the chunk, gross machine, clamber, crawlor climb stairs, lower soul from standing.So there no more screaming when theycan’t get down, which does happen earlier on. They can turn knobs, they can pushpull and protrude playthings, and they start to turn sheets in a hardbound bible. So now, get into sitting position without help, accompanies propping onto furniture, see that video. They can take a few steps withoutholding on at one-year. They may be able to stand all by themselves. Yes as weknow some babies are at eight months: my niece Claire and my nephew Collin werewalking, and I feel Edie and Ian probably as well, were stepping at eight months. Caitlin started her first step at or on her birthday. Alright then the motor milestones for 18 to 24 months under theNew York State Department of Health clinical practice guidelines.So they saybetween this time the child is going to stand up from squatting, they can climbonto chairs, and they can stand on exactly one foot. That’s your gross engine. Finemotor they can scribble with a crayon and they can ended simple problems. Sohere they are walking alone. You genuinely expect a child to be walking alone by 18 months, and see this. They may be able to walk up upstairs, theycould attract playthings while they’re walking, this is when they adoration those little ducksthat go quack quack as they draw them along. They can help undress themselves, ifthey’re requested, you know it’s a price, it’s a goal.Drink from a beaker, feed with a spoon, ofcourse it all depends on what happens at home. Again now we’re looking at the NewYork State Department of Health clinical practice guidelines. I are happy to creating thetwo together, the CDC and the New York State Department of Health clinicalpractice guidelines. I think that clinical practice guidelines are alittle better and that they’re broader. Sometimes the CDC ones are a little tootoo splintered, and I would say. So between 24 to 29 months the babe can, sojust under two and a half years old, they can walk down gradations with both hoofs, theycan run and jump-start with both paws, and find mosaic and string pendants and scribblesare more controlled.You know they tour developmental milestones CDC two years: they can stand on their tiptoe, kicking a projectile, begin to run, have a look this one. Climb onto and down from furniturewithout aid. This is when parents are really in hurt! Walk up and down stairs holdingon, jettison a ball overhead, realize mimics, reaches or follow straight lines and curves. Then we move back to the clinical practice guidelines from 29 months to 36 months gross engine: They jump in place, they go a tricycle. Finemotor, they start to use scissors.Again awfully ethnic. I was working at apreschool for minors with physical disabilities, experiencing them for lecture, and there weresome we proceeded for a little, we were doing some activity and we had those scissorsthat have no sharpness to them, and I imparted them to the boys and I recollect theparaprofessionals were so upset that I would settle the children in so much danger.These were four-year-olds, but for them scissors is not something to give to achild, so you can’t expect a child who would be from a dwelling where they wouldnever be able to touch scissors, you can’t expect those kids to be ableto take your scissors when you’re assessing them, of course. So according tothe CDC specifications at 3 they should be climbing well, rolled readily, pedal thetricycle, gotta have the experience, but yes, move up and down stairs, and that’sthe end.So this is the Developmental Milestones for Physical Development. Youcan find the quiz time following this, and “were having” some videos in there so youcan start to do your analysis. Thank you ..
