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Normale neuromotorische ontwikkeling_Els Ortibus.pdf

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Ontwikkelingsdomeinen<br />

Cognitief<br />

Spraak en taal<br />

Grof motorisch<br />

Fijn motorisch<br />

Sociaal-communicatief<br />

Globaal<br />

+-8% van alle preschool kinderen hebben een<br />

<strong>ontwikkeling</strong>sprobleem, verdeeld over 1 of meerdere<br />

domeinen.<br />

<strong>Normale</strong> motorische <strong>ontwikkeling</strong><br />

20-10-2012<br />

<strong>Normale</strong> motorische <strong>ontwikkeling</strong><br />

20-10-2012<br />

<strong>Normale</strong> motorische <strong>ontwikkeling</strong> 20-10-2012<br />

<strong>Normale</strong> motorische <strong>ontwikkeling</strong> 20-10-2012<br />

Differential diagnosis of late walking<br />

Extended normal range<br />

Familial late walker<br />

Bottom shuffler<br />

Isolated motor delay<br />

Global delay<br />

CP<br />

Rarities, including muscular dystrophy<br />

IN BOYS, ALWAYS CHECK CK!<br />

<strong>Normale</strong> motorische <strong>ontwikkeling</strong><br />

20-10-2012<br />

Features of bottom shufflers<br />

An alternative developmental pathway<br />

Sit-shuffle-walk, normal but late<br />

2% of children<br />

Often positive family history<br />

Dislike of prone position<br />

Relative lower limb hypotonia<br />

Absent/decreased caudal parachute response<br />

Does not crawl<br />

<strong>Normale</strong> motorische <strong>ontwikkeling</strong><br />

20-10-2012

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