People Are Asked to State How Many Times in the Last Month They Visited Their Family Doctor.

Parent talking with physician

Diagnosing cerebral palsy (CP) at an early age is important to the well-being of children and their families. Diagnosing CP tin can have several steps:

  • Developmental Monitoring
  • Developmental Screening
  • Developmental and Medical Evaluations

Developmental Monitoring

Developmental monitoring (too called surveillance) means tracking a child's growth and development over time. At each well-child office visit, the doctor monitors the kid'due south development. The doc does this past asking parents if they have any concerns about their child'south development, taking or updating the child's developmental history, and watching the child during the exam to meet how he or she moves.

It is important for doctors to monitor the development of all children, but especially those who are at a higher run a risk for developmental problems due to preterm birth or low birthweight.

If any concerns nigh the child's development are raised during monitoring, then a developmental screening examination should be given as presently equally possible.

Developmental Screening

During developmental screening a short examination is given to see if the kid has specific developmental delays, such as motor or movement delays. Some developmental screening tests are in the course of interviews or questionnaires completed by parents, others are tests that the doctor gives to the child. The American Academy of Pediatrics recommends that all children be screened for developmental delays during regular well-child part visits at:

  • ix months
  • 18 months
  • 24 or 30 months

When a child is 9 months of age, many issues involving movement can be seen easily. However, mild movement delays that were not found at the nine-calendar month screening might be easier to see when the child is 18 months of age. By the time the child is thirty months of historic period, most movement delays can be found.

A developmental screening test likewise can be given whenever the child's parents or doc or others involved in the care of the child have concerns about the child's development. If the results of the screening examination are cause for business concern, and so the doctor volition make referrals for:

  • Developmental and medical evaluations

AND

  • Early intervention or early babyhood services

Developmental and Medical Evaluations

The goal of a developmental evaluation is to diagnose the specific type of disorder that affects a child. To evaluate movement or motor delays, the doctor will look closely at the child's motor skills, muscle tone, reflexes, and posture, and accept a careful medical history from the parents. The doctor will try to rule out other disorders that could cause similar problems.

Because many children with CP besides accept related developmental weather condition such as intellectual disability; seizures; or vision, hearing, or speech problems, information technology is of import to evaluate the kid to find these disorders besides.

The developmental evaluation can be performed past the primary care doctor or by a specialist. Specialists who can exercise this type of developmental evaluation include:

  • Developmental pediatricians or neurodevelopment pediatricians (doctors with special training in child development and in evaluating children developmental issues).
  • Child neurologists (doctors with special training in childhood diseases of the encephalon, spine, and nerves).
  • Pediatric physiatrists or pediatric rehabilitation doctors (doctors with special training in physical medicine and rehabilitation for children).

In add-on to the developmental evaluation, boosted tests tin can exist done to look for a cause of CP. Specialists might propose brain imaging tests, such equally 10-ray computed tomography (CT scan) or magnetic resonance imaging (MRI). An electroencephalogram (EEG), genetic testing, or metabolic testing, or a combination of these, besides might be done.

CP generally is diagnosed during the first or second twelvemonth afterwards birth. But if a child'southward symptoms are balmy, it is sometimes hard to make a diagnosis until the child is a few years older.

Visit the National Institute of Neurological Disorders and Stroke (NINDS) Cognitive Palsy Data Page to learn more than virtually how CP is diagnosed external icon

Mom on the phone and computer while holding her baby

If Y'all're Concerned

If you think your child is not meeting movement milestones or might have CP, contact your md or nurse and share your concerns.

If you or your doctor is even so concerned, ask for a referral to a specialist who can practice a more than in-depth evaluation of your kid and assist in making a diagnosis.

At the aforementioned time, call your land's public early childhood system to request a free evaluation to find out if your child qualifies for intervention services. This is sometimes chosen a Child Find evaluation. You do not need to wait for a medico's referral or a medical diagnosis to make this call.

Where to telephone call for a free evaluation from the state depends on your kid's age:

  • If your child is not still 3 years old, contact your local early on intervention system.
    You can detect the right contact information for your state by calling the Early Childhood Technical Assistance Center (ECTA) at 919-962-2001 or visit the ECTA websiteexternal icon.
  • If your child is iii years of age or older, contact your local public school system.
    Even if your child is not yet old plenty for kindergarten or enrolled in a public school, telephone call your local elementary school or lath of didactics and inquire to speak with someone who tin can help you have your child evaluated.
    If yous're not sure who to contact, call the Early Babyhood Technical Assistance Center (ECTA) at 919-962-2001 or visit the ECTA websiteexternal icon.

Learn more about early intervention

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Source: https://www.cdc.gov/ncbddd/cp/diagnosis.html

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