Small child

Balance sheet tests in children: when and how?


A child who undergoes a balance test less than a few times, during which his or her health is assessed and any possible irregularities diagnosed. The child's balance sheet is carried out at various stages (0, 2, 4, 6, 10, 14 and 18). Most often by pediatricians, sometimes also by orthopedists, ophthalmologists or dentists.

When do you balance the child?

The balance is made over the period + - 3 months from date of birth. It should include detailed examination, analysis of existing documentation, screening tests, medical examination and specialist examination. In other words, it is a more detailed examination, for which the doctor often does not have time during a standard visit. On the basis of compulsory balance tests, information is obtained on the health of the entire population.

Doctors usually use the following markings: p- normal condition, o-signifying that the child requires observation and n-identified abnormality.

Zero balance

It is carried out immediately after birth in the neonatal period. It aims to verify the pathologies associated with the period of pregnancy, childbirth and all factors affecting the continued functioning of the child.
The zero balance is carried out in the neonatal ward. One of its most important points is the newborn's Apgar rating. In addition, TSH levels, phenylketonuria tests, weight and length, head and chest circumferences, and neurological assessment are performed at this time.

Two-year-old balance

The balance of a two-year-old takes into account the course of physical and motor development of the child. A very important element of the balance is interviewing the mother, especially the assessment of the child's vision and hearing. The child's posture, manual and psychomotor skills should also be assessed. The doctor should also verify the understanding of the instructions and evaluate the child's speech (uttering single words, sometimes simple sentences). The general examination should be extended to check the dentition, the presence of testicles in the scrotum, the correctness of the urethral opening and whether there is phimosis.

Four-year balance sheet

An important point on the balance of a four-year-old is an ophthalmological examination carried out using tables with drawings. At the age of four, teeth are also assessed by carrying out a dental examination, by assessing eyesight, hearing, individual organs, as well as the child's mental and physical development (including building with blocks, gait and running skills, holding crayons, independence in eating, dressing, signaling needs).

Six-year balance sheet

The balance of a six-year-old is carried out by a pediatrician, psychologist and pedagogue with the participation of a child's guardian. Its very important goal is to assess the so-called school readiness. Vocabulary, concentration, verbal analysis, hand dexterity and intelligence are assessed.
The educator issues an opinion regarding readiness to learn, and the psychologist assesses intellectual maturity. If a child is found to have serious abnormalities, such as neurosis, a six-year-old is sent to school a year later. Remedial classes are planned with slight delays.

Ten-year balance sheet

The examination is carried out by a pediatrician and orthopedist. This is necessary because during this period there is often a developmental jump, which shows defects in posture that affect the further development of the child. The most commonly diagnosed is curvature of the spine, flat feet and various asymmetries. Test results may decide to refer your child to corrective gymnastics or release from temporary or permanent exercise. The child's degree of adaptation to school activities is also assessed.

Balance of fourteen-year-olds

The balance of fourteen-year-olds focuses on assessing puberty and aims to detect possible irregularities. His important point is also the identification of possible contraindications to a specific profession. Often, the balance of a fourteen-year-old is combined with the use of educational and vocational counseling services. The doctor also sometimes orders an x-ray of the chest, blood count, urine analysis, blood pressure measurement and visual acuity control.