Pediatric Rehabilitation

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Instructional Course

(599064) IC 23: Early Diagnosis and Management of Cerebral Palsy

Presenter(s)

• 

  Jessica Pruente, MD

  Assistant Professor, Pediatric Rehabilitation Medicine
  Michigan Medicine
  Ann Arbor, Michigan
• 

  Deborah Gaebler, MD

  Professor, Pediatric Rehabilitation Medicine
  Rehabilitation Insitute of Chicago
• RO

  Raye-Ann O de Regnier, MD

  Associate Professor of Pediatrics
  Ann & Robert H. Lurie Children's Hospital of Chicago
  Chicago, Illinois
• CP

  Colleen Peyton, DPT

  Assistant Professor
  Northwestern University
  Chicago, Illinois
• JL

  Jennifer Larson, PhD

  Assistant Professor
  University of Michigan
  Ann Arbor, Michigan
• 

  Angeline Bowman, MD

  Fellow
  University of Michigan
  Ann Arbor, Michigan

Cerebral palsy is the most common disability in the pediatric population at a rate of 2-3 per 1000 live births. Recent guidelines published in JAMA pediatrics suggest a framework to ensure early diagnosis when possible. This presentation will review the guidelines for early diagnosis, physical and cognitive outcomes after NICU hospitalization, utilization of the General Movement Assessment (GMA), Hammersmith Infant Neurologic Examination (HINE) and developmental assessments, structuring of a NICU follow up clinic, and the added value of physiatry when CP is diagnosed early.

Learning Objectives:

• Learn the administration and utility of the Prechtl General Movement Assessment, Hammersmith Infant Neurologic Examination, and Developmental Assessment of Young Children.
• Describe the consensus guidelines for screening and early diagnosis of Cerebral Palsy.
• Describe the goals of early intervention in management of infants with Cerebral Palsy.
• Understand the added value of physiatry after early diagnosis including parent education, early intervention, spasticity management, and monitoring for secondary complications.