Hello, On average a 4 1/2 yr old should be able to make simple sentence with verb etc containing 3-4 words. Vocabulary should be 1500-1600 words.
They should be able to make sentences incorporating five or more words. Speech at this age should be completely intelligible, although there may be some developmental sound errors and stuttering, particularly among boys.
They should be able to accurately narrate what happened at school. Day of week may or may not be accurately recalled but they know all seven days of a week.
Birthday and X mas are known quite early.
Words with rhyme also may be learned easily
He would distinctly recollect who hurt him at school. Also what all happened in class previous day.
More details can be had from link : http://kidshealth.org/parent/growth/communication/comm_4_to_5.html
Hi Doctor, That was interesting. And what about reading and writing ability? Also Doctor, if you could have a look through the list of symptoms and give me your opinion please. Thank you very much for your time in this matter, I am going to rate you highly.
And also his drawing ability
At his age he should recognize all alphabet if already taught at play center or home. Writing few (1-10 or 20) numbers and some simple 3 letter words would be attained. He may use pencil or crayon to color a picture or trace line on outline of a figure.
Regarding symptoms described, seems to have some learning difficulty or may later have ADD but too early to evaluate now. Bad eye with refractive error should be corrected with glasses. Or use a patch alternating each eye couple of waking hours, so that weak eye does not get amblyopia (lazy.eye).
If there are symptoms like stiff limb or brisk jerks, could have mild CP.
Hi Doctor, What is brisk limb or jerk? and what is mild CP?
When end of a muscle at attachment (tendon) is stroked with a rubber hammer, there is jerking of muscle. If this reflex at knee, elbow or ankle is excessive, that is brisk jerk. Due to static brain damage some children have various brain related symptoms called cerebral palsy (CP).
Hi Doctor, I am sorry but I am trying to understand the relation with my Son and what you have mentioned, is there something in the symptoms that can give rise to this at all?
Please discuss with play group teacher to get more insight in his behavior.
You may post any other concern you have.