FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 330:478-483 February 17, 1994 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Despite the 10 percent prevalence of developmental delay,¹ the early identification of such problems remains difficult. Although severe disorders can be recognized in infancy, it is unusual to diagnose speech impairments, hyperactivity, or emotional disorders before the age of three or four years, and learning disabilities are rarely identified before children start school². Despite the difficulty of diagnosing developmental delay, governmental efforts have recently been made (as in the 1986 amendments to the Education of the Handicapped Act) to promote early identification and intervention and thus to reduce long-term disability³. In this article, we shall review the available . . . [Full Text of this Article]

The Benefits of Early Identification

Difficulties in Diagnosing Delay

The History

The Physical Examination

Laboratory Assessment

Developmental Observations

Gross and Fine Motor Development

Language Development

Cognitive Development

Psychosocial Development

Delays in Multiple Areas of Development

Surveillance Tools

Summary

Source Information

From the Department of Pediatrics, Harvard Medical School, Boston (L.R.F., J.S.P.), and the Pediatric Group Associates Program (L.R.F.) and Division of General Pediatrics (J.S.P.), Children's Hospital, Boston.

References

Related Letters:

The Infant or Young Child with Developmental Delay
Glascoe F. P., Coplan J., First L. R., Palfrey J. S.
Extract | Full Text  
N Engl J Med 1994; 331:56, Jul 7, 1994. Correspondence

This article has been cited by other articles:

• van Agt, H. M.E., van der Stege, H. A., de Ridder-Sluiter, H., Verhoeven, L. T. W., de Koning, H. J. (2007). A Cluster-Randomized Trial of Screening for Language Delay in Toddlers: Effects on School Performance and Language Development at Age 8. Pediatrics 120: 1317-1325 [Abstract] [Full Text]  
• Sacker, A., Quigley, M. A., Kelly, Y. J. (2006). Breastfeeding and Developmental Delay: Findings From the Millennium Cohort Study. Pediatrics 118: e682-e689 [Abstract] [Full Text]  
• Rydz, D., Shevell, M. I., Majnemer, A., Oskoui, M. (2005). Topical Review: Developmental Screening. J Child Neurol 20: 4-21 [Abstract]  
• Leslie, L. K., Hurlburt, M. S., Landsverk, J., Rolls, J. A., Wood, P. A., Kelleher, K. J. (2003). Comprehensive Assessments for Children Entering Foster Care: A National Perspective. Pediatrics 112: 134-142 [Abstract] [Full Text]  
• Angeli, S. (2003). Value of Vestibular Testing in Young Children With Sensorineural Hearing Loss. Arch Otolaryngol Head Neck Surg 129: 478-482 [Full Text]  
• Shevell, M., Ashwal, S., Donley, D., Flint, J., Gingold, M., Hirtz, D., Majnemer, A., Noetzel, M., Sheth, R.D. (2003). Practice parameter: Evaluation of the child with global developmental delay: Report of the Quality Standards Subcommittee of the American Academy of Neurology and The Practice Committee of the Child Neurology Society. Neurology 60: 367-380 [Abstract] [Full Text]  
• Shevell, M. I., Majnemer, A., Rosenbaum, P., Abrahamowicz, M. (2001). Profile of Referrals for Early Childhood Developmental Delay to Ambulatory Subspecialty Clinics. J Child Neurol 16: 645-650 [Abstract]  
• Shevell, M. I., Majnemer, A., Rosenbaum, P., Abrahamowicz, M. (2001). Etiologic Yield of Autistic Spectrum Disorders: A Prospective Study. J Child Neurol 16: 509-512 [Abstract]  
• Papavasiliou, A. S., Bazigou, H., Paraskevoulakos, E., Kotsalis, C. (2000). Neurometabolic Testing in Developmental Delay. J Child Neurol 15: 620-622 [Abstract]  
• McIsaac, W. J., Coyte, P. C., Croxford, R., Asche, C. V., Friedberg, J., Feldman, W. (2000). Otolaryngologists' perceptions of the indications for tympanostomy tube insertion in children. CMAJ 162: 1285-1288 [Abstract] [Full Text]  
• Ibrahim, A. E., Duncan, B. W., Blume, E. D., Jonas, R. A. (2000). Long-term follow-up of pediatric cardiac patients requiring mechanical circulatory support. Ann. Thorac. Surg. 69: 186-192 [Abstract] [Full Text]  
• Frazer, C., Emans, S. J., Goodman, E., Luoni, M., Bravender, T., Knight, J. (1999). Teaching Residents About Development and Behavior: Meeting the New Challenge. Arch Pediatr Adolesc Med 153: 1190-1194 [Abstract] [Full Text]  
• Glascoe, F. P., Coplan, J., First, L. R., Palfrey, J. S. (1994). The Infant or Young Child with Developmental Delay. NEJM 331: 56-56 [Full Text]