One year and three months old and still can't walk

If your child still cannot walk by the age of one year and three months, a detailed examination should be conducted. It may be due to developmental delay or other reasons. Parents should gradually guide their children to learn to walk based on the examination results. Only by finding the real cause of this situation can the right medicine be prescribed. Usually functional recovery exercises are required, which is the only way to improve the condition.

1. Physical growth evaluation

According to the recommendation of the former Ministry of Health, the physical growth data of children in China's nine major cities in 1995 were used as the reference population value for Chinese children. The evaluation of children's physical growth includes three aspects: development level, growth rate and symmetry.

(1) Developmental level: The measured value of a physical growth indicator (cross-sectional measurement) obtained at a certain age is compared with the value of a reference population to obtain the child's position in the homogeneous population, that is, the growth level of the child's physical growth indicator at this age. The result is usually expressed in grades. Growth level includes all individual physical growth indicators, such as weight, height (length), head circumference, chest circumference, upper arm circumference, etc., which can be used to evaluate individual or group children.

Some single measurements, such as bone age, represent developmental maturity and also reflect developmental level. Likewise, physical measurements can be used to represent developmental level or maturity based on age. For example, if a 2-year-old boy is 76cm tall, his height growth level is poor, and his height growth age is equivalent to that of a 1-year-old.

(2) Growth rate refers to the regular and continuous measurement (longitudinal observation) of a single physical growth indicator. The growth value of the indicator at a certain age stage is compared with the value of the reference population to obtain the growth rate of the child's physical growth indicator. The simplest and most intuitive way to express growth rate is by using a growth curve. Regular physical examinations are the key to evaluating growth rate. Children are young and grow quickly, so the intervals between regular check-ups should not be too long. The evaluation of growth rate can provide a more accurate understanding of children's growth status than the developmental level. Children with a normal growth rate have basically normal growth.

(3) Symmetry is an evaluation of the relationship between physical growth indicators. ① Body symmetry refers to the proportional relationship of body (morphology) growth. In actual work, weight relative to height is often used to indicate the corresponding weight growth range for a certain height, which indirectly reflects the density and fullness of the body. Actual measurements are compared with values ​​from a reference population, and the results are often expressed as a grade. ② The ratio of sitting height (top-to-hip height)/stature (length) reflects the growth status of the lower limbs. Compare the actual measurement results with those calculated from the reference population. The results are expressed as symmetrical or asymmetrical.

2. Evaluation of children’s neuropsychological development

The level of a child's neuropsychological development is reflected in the child's various abilities in perception, movement, language and psychological processes, and the evaluation of these abilities is called psychological testing. Psychological tests can only determine the level of a child's neuropsychological development and have no significance for diagnosing any disease. Psychological tests must be selected by specially trained professionals based on actual needs and must not be abused. Includes ability tests and adaptive behavior tests