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Neurodevelopmental assessment in the first year with emphasis on evolution of tone

Sudha Chaudhari1, Bhushan Deo

  • 1Department of Pediatrics, King Edward Memorial Hospital, Pune 411 011, India. kemhrc@vsnl.com

Indian Pediatrics
|July 6, 2006
PubMed

Insights

This study tracked 100 infants for one year, establishing developmental milestones for passive and active tone. Findings provide a reference for neurodevelopmental assessment and early intervention in infants.

Area of Science:

  • Pediatrics
  • Neurodevelopmental Pediatrics
  • Infant Development

Background:

  • Early neurodevelopmental assessment is crucial for identifying brain damage.
  • Assessing passive tone is vital for planning effective interventional therapies.

Purpose of the Study:

  • To prospectively evaluate neurodevelopmental milestones in infants during the first year of life.
  • To establish normative data for passive and active tone assessments.

Main Methods:

  • Followed 100 infants with normal birth histories for one year.
  • Monitored developmental milestones (social smile, object transfer, clapping, scribbling).
  • Assessed neonatal reflexes, passive tone (popliteal, adductor angles, scarf sign), and active tone (head support, pull to sit/stand).

Main Results:

  • Established age-specific milestones for social smile, object transfer, clapping, and scribbling.
  • Documented the disappearance of neonatal reflexes and appearance of protective reflexes (lateral propping, parachute).
  • Quantified changes in passive tone (popliteal, adductor angles) and active tone development over the first year.

Conclusions:

  • The study provides normative data for key neurodevelopmental milestones and tone assessments in the first year.
  • These findings can aid clinicians in identifying deviations from normal development and guiding early interventions.

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