EARLY INTERVENTION & NEURODEVELOPMENTAL CARE
Developmental Delay Support in Greater Kailash I
When a child’s development raises questions, families need clear information about the next step. Explore how to describe concerns, prepare for an assessment and discuss individual support at JHANAK.
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Discuss early developmental concerns
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Multi-Specialist Team Under One Roof
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GK-I Flagship sensory therapy area
Individual goals
Milestone Acceleration Within 6 Mos
Greater Kailash I
South Delhi Clinic
Clinical Definition & Scope
Understanding Developmental Delay
A developmental delay occurs when an infant or young child has not reached milestones across expected chronological timelines in one or more developmental functional streams. Developmental pacing is non-linear; identifying delays early provides an opportunity to support developing neural pathways through neuro-affirming, playful scaffolding.
Gross Motor Skills
Posture, walking & coordination
Fine Motor Coordination
Pincer grasp & bilateral balance
Cognitive & Play
Cause-effect & spatial curiosity
Speech & Communication
Expressive words & gestures
Social-Emotional & Adaptive
Self-soothing, feeds & joint focus
Domain 01: Physical Mobility
Standard Milestones: 6–24 Months
Gross Motor Skills & Axial Control
Gross motor delay affects large muscle assemblies responsible for independent seated stability, crawling sequences, upright standing, bilateral navigation, and whole-body vestibular stability.
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Red Flags to Observe
• Not rolling over by 6–7 months
• Inability to sit unassisted by 9 months
• Not pulling to stand or cruising by 12–14 months
• Persistent toe walking or asymmetry in limb usage
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Targeted Jhanak Protocol
Pediatric physiotherapy can consider movement and mobility in relation to a child’s daily activities. Discuss the concern, existing medical advice and the support appropriate for your child.
Lead Discipline: Pediatric Physiotherapy & SI
Domain 02: Hand Function
Standard Milestones: 9–36 Months
Fine Motor & Bilateral Coordination
Involves the synchronization of hands and fingers alongside the visual system. Delays here impair feeding, manipulation of small objects, pre-writing scribbles, and self-care independence.
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Red Flags to Observe
• Inability to grasp toys or bring hands to midline by 5 mos
• Not executing a pincer grasp (thumb & index) by 12 mos
• Excessive tightness or flaccidity in palmar muscles
• Difficulty releasing objects voluntarily
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Targeted Jhanak Protocol
Occupational Therapy utilizing multi-textured resistance putty, bilateral peg work, and adaptive utensil facilitation to strengthen intrinsic finger musculature.
Lead Discipline: Pediatric Occupational Therapy
Domain 03: Logic & Exploration
Standard Milestones: 6–36 Months
Cognitive & Play Development
Cognitive delays manifest when a child encounters friction processing visual clues, understanding cause-and-effect relationships, exploring objects functionally, or following basic multi-step directives.
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Red Flags to Observe
• Lack of interest in cause-and-effect toys by 10 mos
• Not searching for hidden objects (object permanence)
• Repetitive fixation on parts of toys rather than functional use
• Struggle to imitate simple actions like clapping or stirring
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Targeted Jhanak Protocol
Developmental Psychology and Early Special Education using structured curiosity routines to scaffold symbolic play and executive functional sequencing.
Lead Discipline: Developmental Clinical Psychology & Remediation
Domain 04: Communication
Standard Milestones: 9–24 Months
Speech, Language & Expressive Output
Encompasses both receptive understanding (comprehending parental cues and vocabulary) and expressive delivery (speech sound formation, functional gestures, pointing, and combining words).
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Red Flags to Observe
• No babbling or consonant sounds by 9–10 months
• No pointing, waving bye-bye, or reaching by 12 months
• Absence of single meaningful words by 15–18 months
• Not responding reliably when their name is called
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Targeted Jhanak Protocol
Pediatric Speech-Language Therapy (SLT) emphasizing pre-linguistic intentionality, oral motor activation, and naturalistic communicative exchanges without pressure.
Lead Discipline: Pediatric Speech & Language Pathology
Domain 05: Social Interaction
Standard Milestones: 3–36 Months
Social-Emotional & Adaptive Regulation
Covers social reciprocity, responding to parental emotional states, tolerating changes in sensory stimuli, self-soothing, and participating in day-to-day adaptive routines such as spoon feeding or dressing.
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Red Flags to Observe
• Limited social smiling or shared enjoyment by 4–6 months
• Severe distress with textural transitions or feeding solid foods
• Difficulty establishing shared eye focus during interactive play
• Inability to calm down even with continuous primary caregiver touch
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Targeted Jhanak Protocol
Sensory Integration (SI) along with Caregiver Co-Regulation Training. Helping caregivers understand and balance the child’s nervous system baseline.
Lead Discipline: Sensory Integration & Family Counseling
Differential Assessment
Global Developmental Delay (GDD) vs. Specific Isolated Delays
Accurate clinical classification ensures targeted intervention. While specific delays affect one functional domain, Global Developmental Delay spans two or more developmental streams in children under 5.
Single Stream Profile
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Specific Isolated Delay
Noticeable pause or lag centered exclusively in one operational area (for instance, isolated expressive speech delay while gross motor and social comprehension milestones advance on pace).
Diagnostic Standard:
Delays limited to 1 functional stream; other developmental domains score within the standard distribution curve.
Common Underlying Factors:
Persistent middle ear effusion (glue ear causing speech delay), benign hypotonia, environmental lack of movement opportunities.
Therapeutic Focus:
Single-domain targeted therapy (e.g., exclusively Speech Therapy or pediatric physiotherapy) with focused home strategies.
Standard Diagnostic Age: Any age 0–6 yrs
High Recovery Prognosis
Multidisciplinary Profile
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Global Developmental Delay (GDD)
A clinical diagnosis assigned when a child under five displays significant performance delays (typically 2 standard deviations below the mean) across two or more core developmental milestones.
Diagnostic Standard:
Standardized delay documented across 2+ domains (e.g., motor + cognitive, or speech + adaptive functional skills).
Common Underlying Factors:
Premature birth (<34 weeks), low birth weight, metabolic or genetic variations, hypoxic events, subtle neurological variations.
Therapeutic Focus:
Synchronized 360° multidisciplinary program combining Occupational Therapy, Speech Therapy, and Physiotherapy simultaneously.
Defined for ages under 5
Maximum Neuroplastic Window
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The Critical Neuroplasticity Window (Ages 0 to 6)
During the first three years of life, the human brain forms over one million new neural connections per second. Early intervention is not about forcing rapid adult expectations; it harnesses this organic neuroplasticity, reshaping motor and cognitive pathways before foundational compensatory habits form.
Our Clinical Pathway
The Jhanak 360° Multidisciplinary Care Model
At Jhanak Greater Kailash I, therapists do not work in isolation. Our pediatric occupational therapists, speech-language pathologists, physiotherapists, and psychologists collaborate under one roof, sharing observations after each session to adapt care in real time.
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Standardized Assessment
Diagnostic Baseline
Comprehensive clinical evaluation utilizing gold-standard pediatric tools: Bayley-4, Vineland-3 (VABS), and the Sensory Processing Measure-2 (SPM-2).
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Evidence-Based Diagnostics
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Personalized IEP
90-Day Developmental Roadmap
Clear, achievable short-term goals formulated in alignment with the family’s daily routine, reviewed every twelve weeks with objective clinical metrics.
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Parent-Informed Targets
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Clinical Intervention
Sensory-Motor Integration
Enquire about early developmental support at JHANAK in Greater Kailash I. Share what you have noticed and ask which assessment or service may be appropriate.
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Safe Sensory Play Space
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Home Enrichment
Caregiver Co-Regulation
We empower parents with practical daily home routines: mealtime handling, sensory de-escalation methods, and communicative turn-taking exercises.
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Continuous Home Empowerment
Case Study #DD-2184
Clinical Progress Observation
Toddler Anvi, 28 Months: Navigating Global Motor & Expressive Delays
Anvi was referred to Jhanak by her pediatrician after her family noticed she was unable to pull to a steady stand or walk independently, had no communicative words, and experienced distress during daily baths and spoon feeding.
Baseline (Month 0)
Sitting with kyphotic slump; non-verbal; low vestibular tolerance.
Therapy Plan
Combined PT (core tone), OT (sensory diet), and Speech (pre-language games).
Outcome (Month 8)
Independent walking, 25+ expressive words, comfortable with self-feeding.
“The multi-specialist synergy at Jhanak gave us immediate clarity. Instead of bouncing between disparate clinics across Delhi, Anvi’s therapists worked as a unified team. Seeing her walk and say ‘Mumma paas aao’ has changed our lives.”
— Anvi’s Father, Resident of Greater Kailash II
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Identity protected in strict compliance with clinical privacy standards.
Clear Answers
Frequently Asked Questions by Parents
We understand that seeking clinical help can feel daunting. Here are evidence-based answers to the questions families ask our team most frequently.
Every child possesses a distinct neurodevelopmental trajectory. Many children with isolated delays (such as expressive speech or mild motor tone delays) make remarkable leaps and transition to age-expected milestones with timely therapeutic support. In global delays, while the timeframe may look different, early intervention maximizes independence, communicative agency, and academic readiness by leveraging peak early childhood neuroplasticity.
Global Developmental Delay (GDD) is characterized by a generalized lag across two or more core developmental domains (such as motor skills and language) in children under 5. Autism Spectrum Disorder (ASD), on the other hand, centers specifically around differences in social communication, shared social reciprocity, and sensory modulation, often accompanied by focused repetitive behaviors or routines. While both benefit from early supportive therapy, a formal developmental assessment by our clinical psychologist clarifies the clinical profile.
Yes, absolutely. Using standardized scales such as the Bayley Scales of Infant and Toddler Development (Bayley-4), clinicians can assess cognitive, language, and motor development in infants as young as 16 days. The “wait and see” approach is no longer recommended in modern pediatric care: early screening identifies subtle tone, visual tracking, or sensory hurdles when neural pathways are most responsive to change.
At Jhanak, parent coaching is an integral part of every therapy plan. We avoid giving parents burdensome homework. Instead, our therapists translate therapeutic strategies directly into your existing daily routines: bath time sensory play, posture-supportive mealtime seating, and language-building play sequences during evening walks. You become an empowered collaborator in your child’s growth.
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Greater Kailash I, New Delhi
Schedule a Priority Screening
Connect with our senior pediatric neurodevelopmental team. Share your observations and our clinical coordinator will guide you to the right diagnostic pathway.
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Direct Intake Desk: +91 76785 09500
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Please confirm visit hours when booking.
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R-274, Block R, Greater Kailash I, New Delhi
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Developmental Milestones Checklist (0–4 Years)
Download our clinical observation guide compiled by Dr. Prashant Kumar and the senior multidisciplinary therapy team at Jhanak.
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