During puberty, the cephalocaudal growth trend of infancy and childhood reverses. the torso accelerates first, followed by the hands, legs, and feet. the average child gains 20-35 pounds. girls' shoulders broaden relative to the hips.

During puberty, the cephalocaudal growth trend of infancy and childhood reverses. During this stage, the hands, legs and feet accelerates first, reversing the cephalocaudal growth trend of infancy and childhood. Cephalocaudal growth refers to the pattern of changing spatial proportions over time during growth. An example is the gradual change in head size relative to the size of the body.