1. GROWTH AND DEVELOPMENT
儿童生长发育

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

3. Different rate of development in various systems

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

6. 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

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

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

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

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

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

12. 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

13. Growth Curve (Boys)

14. Growth Curve (Girls)

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

16. 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

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

18. Lift head
Lift head
Sitting
Crawing

19. Standing
Walk
Jump
Run

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

21. 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

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

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

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

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

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

27. 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

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

29. 谢谢！
Thank you