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

≌3kg

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）

weight

newborn

1 to 6 mon

7 to 12 mon

2 to 12 yrs

PHYSICAL GROWTH

Height

newborn

0-1yr

2-12yrs

50cm

↑25cm

H (cm)= yrs×7+70 (cm ）

PHYSICAL GROWTH

1yr

newborn

5yr

2yr

Head circumference (HC)

34cm

46cm

48cm

50cm

PHYSICAL GROWTH

Chest circumference (CC)

Newborn 32cm

1yr46cm

CC=HC

PHYSICAL GROWTH

Skeleton development

Teeth development

first tooth

Deciduous teeth 2030mon

6mon

Anterior fontannel1~1.5 yr closure

ASSESSMENT OF GROWTH

Mean (X) ＆ Standard (SD)

Normal distribution

±1SD

+2SD

+3SD

68.3%

95.4%

99.7%

ASSESSMENT OF GROWTH

Percentile P3-P9795%

Growth chart

Multiple indicators

Height for age

Weight for age

Weight for height

Growth Curve (Boys)

Growth Curve (Girls)

NEURO-PSYCHOLOGICAL DEVELOPMENT

Sensation and perception

vision3-4yr

1yr

Newborn

6yr

3mon

20cm

180°level

3m

0.7

1.0

NEURO-PSYCHOLOGICAL DEVELOPMENTSensation and perception

Audition

Newborn

3mon

1yr

2yr

4yr

Hearing

Turning head to sound

Knowing his/her name

Following simple direction

Hearing mature

NEURO-PSYCHOLOGICAL DEVELOPMENT

GMotor

Gross motor

3mon

6mon

9mon

15mon

Lift head

Sitting

Creep ＆ Standing

with support

Walk alone

Lift head Lift head

Sitting Crawing

Standing Walk

Jump Run

NEURO-PSYCHOLOGICAL DEVELOPMENT

Fine motor

3mon

6mon

9mon

3mon

Grasp object

Transfer object

Thumb-finger grasp

ScribbleMotor

NEURO-PSYCHOLOGICAL DEVELOPMENT

Language

age receptive expressive

6m Name Babble

12m Familiar object namePharasesSimple needs

Repeat sound“ba ba” /“ma ma”

15m~18m

Body partFollowing simple direction

Pointing15~20 words

24m People/object

PicturesName/object/pictures

300 words

36m 2~3directionssex identity

SentencesMore words

48m Differenciate colorsFollowing 2~3 directions

Telling storiesDescribing things

NEURO-PSYCHOLOGICAL DEVELOPMENTThinkingImaginationWillEmotionPersonalityPersonal-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 orientationTempory-order

MemorySpeech

language

Single developmental screening tests

ASSESSMENT AND BEHAVIORAL DEVELOPMENT

Denver Developmental Screening Test,DDST

Drawing-a-man test

Peabody Picture Vocabulary Test,PPVT

Abilities tests

Screening tests

Psychometry

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

Overweight >2SD or 97 Percentile

Underweight <2SD or 3 Percentile

Tall status

Stunt

PSYCHOLOGICAL DISORDER

Developmental-behavioral problems

Learning disorders

Speech and language disorders

Mental retardation

Breath holding

Biting thumb Enuresis

Defiance

Lying

Temper tantrums

Sleep disorders

谢谢！