PHYSICAL DEVELOPMENT IN INFANTS Review of definitions of growth and development: Growth: an increase in size and/or weight; stops at about age 18 Development: acquiring a new skill; continues throughout life Definitions of different stages of childhood: Infants: birth to age 1 Toddlers: ages 1-3 this course focuses on birth to age 6 only Pre-school: ages 3-5/6 School age: ages 6-12 Patterns of Development There are three general patterns of development that all children follow. 1. Head to Foot infants first learn to control their head, then control gradually moves down the body. Once they have control over their back and hips, they can sit steadily without support. Note that "average age" is just the average - babies achieve these skills on their own timetable. Some babies walk as early as 9 months; others not until 16 months. ▪ ▪ ▪ ▪ ▪ ▪ ▪ Controls head Lifts upper body when laying on tummy Sits alone unsupported Crawls Pulls up to stand on furniture or caregiver “Cruising” - walks while holding on to furniture Walks independently Average age: 2-3 months 3-4 months 6 months 7-9 months 9-10 months 10-12 months 12 months 2. Near to Far Babies first learn to gain control over their torso or trunk, then shoulders, then upper arms and finally their hands. ▪ Control moves from centre of body outward ▪ Begins with broad arm movements (e.g. batting at objects) ▪ Arm movements become more precise and intentional ▪ Increasing control of hands ▪ First, the mitten grasp (fingers & thumb close against the palm) ▪ This also requires hand-eye coordination (the ability to move the hands and fingers precisely in relation to what is seen) ▪ Later, the pincer grasp develops (uses thumb & forefinger to pick up objects like small toys, Cheerios, other foods) 3. Simple to Complex ▪ Large or Gross motor (muscles of the arms/legs/ torso) o this includes skills like walking, climbing, hopping, throwing, catching, balancing on one foot, riding a tricycle, bouncing a ball ▪ Small or Fine motor (muscles of the hands/fingers/ toes/mouth) o this includes skills like sucking the thumb, feeding oneself, scribbling with a crayon, pushing buttons on a toy, stringing beads on a shoelace, printing letters and numbers precisely ▪ Simple to complex means that simple skills are mastered first, then they are refined and become more complex ▪ Large motor: toddling � fast walking � running � climbing �hopping ▪ Feeding: eating with fingers using mitten grasp � pincer grasp � utensils held in fist � utensils held properly