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THE EVALUATION CRITERIA FOR MENTAL AND MOTOR DEVELOPMENT OF INFANTS BORN AT TERM DURING THE FIRST 4 YEARS OF LIFE

Alieva Kh.M., Zainiddinova R.S., Republic Center of Psychoneurological Health of Children and Adolescents, Dagestan Ministry of Health, Makhachkala, Russia.

 

The elaboration of the simple scale for evaluation of mental and motor development of infants is important for the practitioners working in rural regions. On the base of the study of 4726 healthy infants and 24516 infants at risk  or with neurological diseases we propose the scale which consists of 5 points: 1) the tendency of early adaptation; 2) the level of development of general motorics; 3) the level of development of fine motor function; 4) preverbal and verbal development; 5) social behavior. Each point may be scored as “0” (if the function is absent), as ”1” (if the function is decreased) or as “2” (if the function is normal or close to normal). The evaluation of the 5th point is possible only in infants older than 2 months. If the total score is <10 (or <8 for the first 2 months of life) the infant is considered as at risk of development of neurological pathology and needs the special observation by neurologist; if the total score is <5 (or <4 for the infants younger than 2 months) it indicates that the infant has neurological disease and should be under the special treatment. The infants with total score =0 have severe organic brain pathology and the problem of their social adaptation in the family or in special medical institutions should be considered.