The American Academy of Pediatrics recommends that all children are screened for developmental delay during regular office visits at 9, 18, and 30 months.[20]Noritz G, Davidson L, Steingass K, et al. Providing a primary care medical home for children and youth with cerebral palsy. Pediatrics. 2022 Nov 21;e2022060055.
https://publications.aap.org/pediatrics/article/150/6/e2022060055/190094/Providing-a-Primary-Care-Medical-Home-for-Children
http://www.ncbi.nlm.nih.gov/pubmed/36404756?tool=bestpractice.com
[104]Lipkin PH, Macias MM, Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics. Promoting optimal development: identifying infants and young children with developmental disorders through developmental surveillance and screening. Pediatrics. 2020 Jan;145(1):e20193449.
https://pediatrics.aappublications.org/content/145/1/e20193449.long
http://www.ncbi.nlm.nih.gov/pubmed/31843861?tool=bestpractice.com
The majority of movement delays will be evident by the time a child reaches 30 months.[105]Centers for Disease Control and Prevention. Screening and diagnosis of cerebral palsy. 31 December 2020 [internet publication].
https://www.cdc.gov/ncbddd/cp/diagnosis.html
Developmental concerns elicited at any visit should be followed by standardized developmental screening testing or direct referral to specialty medical care.[20]Noritz G, Davidson L, Steingass K, et al. Providing a primary care medical home for children and youth with cerebral palsy. Pediatrics. 2022 Nov 21;e2022060055.
https://publications.aap.org/pediatrics/article/150/6/e2022060055/190094/Providing-a-Primary-Care-Medical-Home-for-Children
http://www.ncbi.nlm.nih.gov/pubmed/36404756?tool=bestpractice.com
[104]Lipkin PH, Macias MM, Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics. Promoting optimal development: identifying infants and young children with developmental disorders through developmental surveillance and screening. Pediatrics. 2020 Jan;145(1):e20193449.
https://pediatrics.aappublications.org/content/145/1/e20193449.long
http://www.ncbi.nlm.nih.gov/pubmed/31843861?tool=bestpractice.com
Children with risk factors for development of CP
Serial follow-up exams of all newborns from neonatal intensive care starting at age 3 months (corrected age) are warranted until it is evident that there is no failure in developmental milestones or development of spasticity.[20]Noritz G, Davidson L, Steingass K, et al. Providing a primary care medical home for children and youth with cerebral palsy. Pediatrics. 2022 Nov 21;e2022060055.
https://publications.aap.org/pediatrics/article/150/6/e2022060055/190094/Providing-a-Primary-Care-Medical-Home-for-Children
http://www.ncbi.nlm.nih.gov/pubmed/36404756?tool=bestpractice.com