Division of Biokinesiology and Physical Therapy (Drs Kretch, Sargent, and Dusing), University of Southern California, Los Angeles, California; Department of Physical Therapy (Dr Willett), Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, Nebraska; Department of Rehabilitation Medicine (Dr Hsu), University of Washington, Seattle, Washington; Department of Physical Therapy (Dr Harbourne), Duquesne University, Pittsburgh, Pennsylvania.
Pediatr Phys Ther. 2022 Oct 1;34(4):440-448. doi: 10.1097/PEP.0000000000000937. Epub 2022 Jul 23.
In early 2022, the Centers for Disease Control and Prevention (CDC) updated their developmental surveillance milestone checklists. The purpose of this article is to clarify and interpret the updates from a physical therapist perspective and to discuss implications of the new milestones for physical therapists.
The CDC's updated checklists provide clear, consistent, easy to use, and evidence-based developmental milestones to prompt discussion with families. The new checklists do not represent a lowering of standards and will likely increase, not decrease, referrals for screening, evaluation, and services. Crawling has been removed from the milestone checklists, as the current evidence suggests that crawling is highly variable and not essential for development.
The updated milestone checklists will facilitate bringing vital services to children who need them. Physical therapists should support our primary care colleagues in implementing this useful program.
2022 年初，疾病预防控制中心（CDC）更新了其发育监测里程碑检查表。本文旨在从物理治疗师的角度阐明和解释这些更新，并讨论新里程碑对物理治疗师的影响。
CDC 更新的检查表提供了清晰、一致、易于使用且基于证据的发育里程碑，以提示与家庭进行讨论。新标准并没有降低，反而可能会增加，而不是减少筛查、评估和服务的转介。爬行已从里程碑检查表中删除，因为目前的证据表明爬行变化很大，对发育并非必不可少。
更新的里程碑检查表将有助于为有需要的儿童提供重要服务。物理治疗师应支持我们的初级保健同事实施这一有用的计划。
