Julia Rei Ilagan

BSPT III

Milestone Development
Developmental milestones can begrouped in 4 distinct areas of function:
1. Gross motor behavior
2. Fine motor
3. Language Behavior
4. Personal-social behavior
APGAR Scores
Five measures are assessed:

 HR, RR, muscle tone, and color

 A score of 0 to 2 is given on each feature examined
Scores:

References
Braddom, Randall L., Physical Medicine & Rehabilitation.
Good px= 7-10

Impending resp arrest = 5-6

Needing ventilator support = 0-4

- This is one of the most important aspects of the pediatric history. Illnesses, injuries, and
different disease processes can have a profound impact on the attainment of developmental
milestones. Delays may be noted in gross motor, fine motor, speech and language, and/or
psychosocial areas
-A discussion of the developmental milestones is also helpful in educating the family regarding
what the child should be doing and what skills they should be working on. Often families are
focused on their child walking when they need to take a step back and work on their child sitting
independently or working on standing balance, for example. It should also be emphasized that
there is a wide age range of normal for the attainment of certain skills, and families may notice
that their child progresses at different rates within the different areas.

Family Hx

References
Braddom, Randall L., Physical Medicine & Rehabilitation.
-The family history should include any history of early stroke, early myocardial infarction,
peripheral neuropathy, joint or tissue abnormalities, myopathies, or bony abnormalities. Gait
abnormalities or developmental delays should be investigated through multiple generations.
Social and Educational Hx
- The examiner should inquire about the child’s environment including who lives with them in the
home, who the primary and secondary caregivers are, and the layout of the home. Accessibility
is assessed by determining the number of stairs to enter the home, the levels of the home, and
where the child’s bedroom and bathroom are located. It is important to also evaluate the child’s
peer group and their interactions with their peers. Extracurricular activities can give insight into a
child’s social skills and personality

References
Braddom, Randall L., Physical Medicine & Rehabilitation.