Frequent Falls in Young Children: When to Seek Medical Help? - Rehabilitation

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Frequent falls while walking?


Dear Director Chen: My son is five years and ten months old.
He often falls while walking, and it happens every day.
He also grips his pencil with a fist and draws lines that are not straight.
What should I do to seek medical attention? Which department should I consult?

Youxin de ren, 20~29 year old female. Ask Date: 2007/07/01

Dr. Chen Xianchang reply Rehabilitation


Hello: Thank you for your inquiry.
Here are my responses and suggestions: 1.
Your child may have sensory integration issues or a mild brain injury, which can manifest as coordination problems, including both gross and fine motor skills, as well as difficulties with attention and emotional disturbances.
2.
It is advisable to consult a rehabilitation specialist, pediatric neurologist, or child psychiatrist for a comprehensive evaluation, including assessments of language IQ, performance IQ, verbal expression, interpersonal relationships, attention span, and learning abilities, before proceeding with further treatment.

Reply Date: 2007/07/01

More Info


Frequent falls in young children can be concerning for parents, especially when they occur regularly. In your case, your son, who is five years and ten months old, is experiencing daily falls and has difficulty with fine motor skills, such as holding a pencil and drawing straight lines. These symptoms can indicate underlying issues that may require medical evaluation.


When to Seek Medical Help
1. Frequency and Context of Falls: If your child is falling frequently, it is essential to consider the context. Are the falls occurring during play, walking, or running? Are they related to clumsiness, or do they seem to happen without any apparent reason? Frequent falls can be a sign of balance issues, coordination problems, or even neurological concerns.

2. Associated Symptoms: Pay attention to any additional symptoms that may accompany the falls. For instance, if your child experiences dizziness, headaches, or changes in behavior, these could be red flags indicating a need for further evaluation.
3. Developmental Milestones: Children develop at different rates, but by the age of five, they should have a certain level of coordination and balance. If your child is significantly behind peers in these areas, it may warrant a professional assessment.

4. Fine Motor Skills: Difficulty with fine motor skills, such as holding a pencil improperly or drawing uneven lines, can also be indicative of developmental delays or coordination disorders. This can affect not only academic performance but also daily activities.


Recommended Medical Evaluation
Given your concerns, it would be advisable to seek a comprehensive evaluation from a pediatrician first. The pediatrician can assess your child's overall health and development and may refer you to specialists if necessary. Here are some potential specialists to consider:
1. Pediatric Neurologist: If there are concerns about neurological issues, a pediatric neurologist can evaluate your child's brain function and development. They may conduct tests such as a neurological exam or imaging studies if needed.

2. Pediatric Occupational Therapist: An occupational therapist can assess your child's fine motor skills and provide strategies to improve coordination and dexterity. They can also work with your child on activities that enhance balance and strength.

3. Pediatric Physical Therapist: If balance and coordination are significant concerns, a physical therapist can help develop a tailored exercise program to improve these skills. They can also assess for any underlying musculoskeletal issues that may contribute to frequent falls.


What to Expect During the Evaluation
During the evaluation, the healthcare provider will likely:
- Conduct a thorough medical history and physical examination.

- Observe your child's movements and coordination.

- Discuss any developmental milestones and concerns you may have.

- Possibly recommend further testing, such as blood tests or imaging studies, if there are indications of underlying medical issues.


Conclusion
In summary, frequent falls in young children, especially when accompanied by difficulties in fine motor skills, should not be overlooked. It is essential to seek medical advice to rule out any underlying conditions and to ensure your child receives the appropriate support and interventions. Early identification and intervention can significantly improve outcomes and help your child develop the necessary skills for daily activities and academic success. Don't hesitate to reach out to your pediatrician to discuss your concerns and determine the best course of action for your child's health and development.

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