A American Academy of Pediatrics recomenda que as crianças sejam rastreadas para atraso no desenvolvimento durante as consultas de rotina aos 9, 18 e 30 meses.[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
A maioria dos atrasos no movimento ficará evidente quando a criança completar 30 meses.[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
As preocupações relativas ao desenvolvimento abordadas nas consultas devem ser seguidas de um rastreamento de desenvolvimento padronizado ou encaminhamento direto a um especialista.[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
Crianças com fatores de risco para desenvolvimento de PC
Exames de acompanhamento seriados de todos os neonatos da unidade intensiva neonatal, iniciando aos 3 meses de idade (idade corrigida), são necessários até que fique evidente que não há atraso nas fases do desenvolvimento ou desenvolvimento de espasticidade.[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