Author:
Noritz Garey H.,Murphy Nancy A.,Murphy Nancy A.,Hagan Joseph F.,Lipkin Paul H.,Macias Michelle M.,Navsaria Dipesh,Noritz Garey H.,Peacock Georgina,Rosenbaum Peter L.,Saal Howard M.,Sarwark John F.,Swanson Mark E.,Wiznitzer Max,Yeargin-Allsopp Marshalyn,
Abstract
Pediatricians often encounter children with delays of motor development in their clinical practices. Earlier identification of motor delays allows for timely referral for developmental interventions as well as diagnostic evaluations and treatment planning. A multidisciplinary expert panel developed an algorithm for the surveillance and screening of children for motor delays within the medical home, offering guidance for the initial workup and referral of the child with possible delays in motor development. Highlights of this clinical report include suggestions for formal developmental screening at the 9-, 18-, 30-, and 48-month well-child visits; approaches to the neurologic examination, with emphasis on the assessment of muscle tone; and initial diagnostic approaches for medical home providers. Use of diagnostic tests to evaluate children with motor delays are described, including brain MRI for children with high muscle tone, and measuring serum creatine kinase concentration of those with decreased muscle tone. The importance of pursuing diagnostic tests while concurrently referring patients to early intervention programs is emphasized.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Reference34 articles.
1. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening.;Council on Children With Disabilities;Pediatrics,2006
2. Centers for Disease Control and Prevention, Division of News and Electronic Media. CDC estimates 1 in 88 children in United States has been identified as having an autism spectrum disorder [press release]. Available at: www.cdc.gov/media/releases/2012/p0329_autism_disorder.html. Accessed November 14, 2012
3. Parents’ and caregivers’ perceptions of their children’s development.;Harris;Dev Med Child Neurol,1994
Cited by
92 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献