Paeds Cases · growth-development-and-behaviour
Late walker and non-crawler counselling — development OSCE
OSCE on counselling WHO motor windows, healthy variation and when to recheck or escalate.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
Caregivers of a 14-month-old who bottom-shuffles, has not walked alone, and want reassurance that everything is fine.
Objectives
- Explain WHO walking and crawling windows in plain language. [1]
- Distinguish healthy bottom-shuffling variation from red-flag motor patterns. [1] [5]
- Perform or describe a focused motor observation and exam. [2] [3]
- Leave a dated plan with opportunity supports and safety-net. [3] [10]
References6ShowHide
- [1]WHO Multicentre Growth Reference Study Group WHO Motor Development Study: windows of achievement for six gross motor development milestones. Acta Paediatr Suppl, 2006.PMID 16817682
- [2]Zubler JM Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics, 2022.PMID 35132439
- [3]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening. Pediatrics, 2020.PMID 31843861
- [5]Novak I Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA Pediatr, 2017.PMID 28715518
- [8]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI Evid Synth, 2020.PMID 32813387
- [10]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis. Br J Gen Pract, 2025.PMID 39117428