DEVELOPMENTAL

ASSESSMENT - INFANT
P R E S E N T E R – Dr. Akshara
M O D E R ATO R – Dr. Pradeep, MD
C H A I R P E R S O N – Dr. B. Manohar, MD
Why should I learn about
developmental assessment?
1. Timely referral

2. Reduce childhood disability

3. Assess health outcomes

4. Medicolegal purpose

5. Choosing educational needs/ choice of school

Factors other than “scores”

o P re n ata l fa c to rs

o Pe r i n ata l fa c to rs

o E nv i ro n m e nta l fa c t o rs
DEVELOPMENTAL ASSESSMENT
TESTS
• S C R E E E N I N G T ESTS :

1. Vineland Social Maturity Scale (VSMS)

2. Child Development Centre (Kerala) grading for motor milestones

3. Trivandrum Developmental Screening Chart (TDSC)

4. Hammersmith Infant Neurological Examination

5. Developmental Observation Card (DOC)

6. Seguin Form Board test

DEVELOPMENTAL ASSESSMENT
TESTS
• D E F I N I T I V E T EST S :

1. Bayley scale for infant development II

2. Development Assessment Scale For Indian Infants (DASII)

3. Wechsler intelligence scale for children IV

4. Stanford Binet intelligence scale

5. Vineland adaptive behaviour scale

 VINELAND SOCIAL MATURITY
SCALE (VSMS)
• Age group : 0-15 yrs

• Measures the differential social capacities of an individual.

• Provides an estimate of Social Age (SA) and Social Quotient (SQ) – SQ =

• Measure social maturation in eight social areas: Self-help General (SHG), Self-help

Eating (SHE), Self-help Dressing (SHD), Self direction (SD), Occupation (OCC),

Communication (COM), Locomotion (LOM), and Socialization (SOC)

VINELAND
SOCIAL
MATURITY
SCALE (VSMS)
VINELAND
SOCIAL
MATURITY
SCALE (VSMS)
 CDC - Child development centre, Kerala
grading for motor milestones
GRADES HEAD CONTROL SITTING STANDING
(4 MONTHS) (8 MONTHS) (12 MONTHS)
GRADE 0 No head holding at all No sitting at all Not standing well

GRADE 1 Head erect and steady momentarily Sits momentarily Stands holding on to furniture
momentarily
GRADE 2 Dorsal suspension – lifts head along Sits 30sec or more leaning Take few steps with both
with body forward hands supported
GRADE 3 Prone position – elevates on arms, Sits with back straight Can stand alone with legs
lifts chest apart
GRADE 4 Holds head steady while mother While sitting, can turn around Come to standing position by
moves around and manipulate toy throwing weight on arms
GRADE 5 Head balanced at all times Raises self to sitting position Without support takes few
steps
TDSC – TRIVANDRUM
DEVELOPMENTAL SCREENING CHART
• Age group : <6 yrs

• Used in community developmental screening programmes by

anganwadi workers

• Right end of bar – age at which 97% of children passed the item
ART

TDS
C
 HAMMERSMITH INFANT
NEUROLOGIC EXAMINATION (HINE)
• 2 – 24 months
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination – 5 domains (max score - 78)
2. Developmental milestones
Not scored
3. Behaviour
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour – 5 domains (max score - 78)

Not scored
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour

Not scored
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour

Not scored
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour

Not scored
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour

Not scored
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour

Not scored
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour
HAMMERSMITH INFANT
• 2 –NEUROLOGIC
24 months
EXAMINATION (HINE)
• Designed for use by non-neurologists
• Early prediction of Cerebral Palsy
• 3 parts :
1. Neurologic examination
2. Developmental milestones
3. Behaviour