PH

Youth- Child Development

  • Babies learn from peripheral to central

  • Changes in position, touch, sounds, vision- changes their worldview

  • Concentric → isometric → eccentric = development of milestones

  • Head control, rolling, sitting, creeping, standing, walking, running

  • Followed by motor development and control

Fine motor skills:

  • Small muscles involved in manipulative skills

  • Picking up objects, feeding, writing and coloring, cutting, and dressing

Gross Motor Skills:

  • Big muscle groups involved in locomotor

  • Crawling, walking, running, stairs

A child is building a “body for a lifetime”

The demands of rapid growth and development

  • require higher breathing rate

Nervous System

  • During the first 4 prenatal weeks, 100 billion neurons are formed

  • Within the first year, these billions of neurons are connecting forming new synapses for brain development and learning

  • At birth, the brain is 25% of its adult weight; by age 5, it is 90% of its adult weight.

  • Newborns can see approximately 1.5 feet in front of them

Musculoskeletal System

  • Bones- rapid growth initially followed by spurts until PHV (peak height velocity)

  • Epiphyseal plate- cartilage layer near end of long bones, bone growth (osteogenesis) continues in length until cartilage becomes bone

Peak Height Velocity Age

  • The time when gain in height is the fastest since the first year of life

  • Usually occurs around 13-15 years of age for boys and 11-12 years of age for girls

    • increase in muscle mass

    • Decrease in ROM

    • temporary decrease in bone mineral density

    • Increased energy consumption

Eating Disorders

  • Image consciousness starts as early as preschool

    • Affects nervous, cardiac, muscular, skeletal, and endocrine system

  • Anorexia Nervosa- self-starvation, inability to maintain a minimal healthy weight

    • Amenorrhea- menstruation stops with the growth of bones, which can lead to osteoporosis

    • Electrolyte imbalance, muscle wasting, heart atrophy, slowed growth and malnutrition

(if you know this is an issue- discourage physical activity)

  • Bulimia nervosa- binge eating followed by purging

    • more common, less noticeable due to weight being fairly normal

  • Muscle Dysmorphia- obsession with developing muscle mass

    • Affects more men and can lead to steroid abuse and malnutrition

Steroid Abuse

  • Irreversible adverse effects

  • Has a feminizing effect on men and masculinizing effect on women

  • Increased risk for heart attacks, strokes, kidney failure, cancer

Nutrition

  • Caloric requirements are self-regulated in infants/toddlers

  • Healthy habits established by caregivers

  • For toddlers/children- activity and energy intake should balance each other out

  • Ensure healthy dises of iron, calcium, vitamin D

Sports

  • Children are not mini adults, do not need to train like adults

  • Use of play and games for younger children

  • Need a range of activities to develop muscles appropriately

  • Don’t develop diverse motor skills

Down Syndrome

1 in every 700 births

Most common chromosomal abnormality

  • poor muscle tone or loose joints

  • altered gait, wide base opf support

  • mild to moderately low IQ

  • heart defects (50%)

  • hearing losee

  • vision issues

Cerebral Palsy

Irreversable damage to the brain

  • lack of muscle coordination

  • stiff or tight muscles and exaggerated reflexes

  • weakness in one or more arm or leg

  • walking on toes

  • shaking (tremor) or random involuntary movements