Description

Evaluate pull to sit with attention to head lag, until achieved

Surveillance & Next Steps

If a child has head lag at 4 months, carefully evaluate other age-appropriate motor milestones (e.g., rolling) and refer to early intervention for developmental stimulation. Re-evaluate in one month.

If child is not age-appropriate: CK and referral

What does weakness in pull to sit look like?

Developmental norms

Pull to sit with no head lag*: 50% by 3.5 months, 75% by 4 months, 90% by 6.5 months

*Source: Denver II

Download a pdf of the Surveillance and Referral Aid for Primary Care Providers. This Aid includes assessing weakness by age, clinical evaluation for muscle weakness, guidance on the use of CK testing, and the motor delay algorithm. These materials have been endorsed by the American Academy of Pediatrics.

Last Updated on Thursday, 30 August 2012 15:32

Did you know?

Genetic/genomic tests (such as karyotype, microarray, or sequencing) may diagnose or identify risk for a neuromuscular disorder before there are obvious symptoms. Urgent telephone consultation with a geneticist or neurologist will inform an appropriate referral.

MORE CLINICAL PEARLS

Milestone: Pull to sit without head lag

Description

Surveillance & Next Steps

Did you know?

Signs of Weakness

Clinical Evaluation

Testing and Referral

Resources and Tools

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