Many children in the U.S. are diagnosed with cerebral palsy around the age of 2. However, in 2017 International Guidelines were developed that created a care pathway for children to be diagnosed as early as 3 months old.

Parent intuition is that small voice in a parent’s head that notices that something’s not quite right about their child’s development. A parent’s intuition notices that their baby’s movements look different. Parents should follow their intuition. Make an appointment with your child’s pediatrician and express your concerns. If you are concerned that your baby is at risk for cerebral palsy, here’s what may happen to be diagnosed:

1. Special evaluations that include both a neurological exam and a neurodevelopmental exam. These may be performed by one of UCP’s therapists in the Baby Clinic
2. Brain imaging is optional but very helpful. The imaging may be an MRI but could be an ultrasound
3. A diagnosis from a pediatric neurologist or similar specialist

In the past, a diagnosis of cerebral palsy occurred when delays in children’s motor milestones were noticed. New methods are replacing the ‘wait and see” approach. The problem with waiting is that cerebral palsy may not be identified until a child is older. However, waiting for a child to have a delay of a motor milestone such as walking may be too late and the critical window of opportunity created by brain development may be missed.

For this reason, the latest research is focusing on detecting cerebral palsy early as possible. The methods focus on the quality of small movements throughout the body that happen before large motor skills such as sitting are developed, allowing children to be diagnosed as early as 3 months and get early treatment to be able to develop their motor skills to their full potential.

Why Wait and See is Not a Good Idea

Brain plasticity is the brain’s ability to reorganize itself by forming new neural pathways and connections. This process, also known as neuroplasticity, occurs throughout life, with the greatest activity occurring before age five. Brain plasticity makes a baby’s brain highly responsive to new experiences and changes in their environment, shaping and developing it in new ways. For children with an injury or those born with a brain abnormality, brain plasticity allows nerve cells to compensate by “rewiring” themselves. It is for this reason that not only early diagnosis but also early intervention is so important! Evidence suggests that early intervention influences how the brain forms pathways and connections. Not only is early therapy important, but therapy that is designed specifically for cerebral palsy can make a big difference.

A Comprehensive Support System. Implementing these early, therapist-directed routines at home requires a level of support that goes beyond typical parenting. At UCP, we believe in a total care model. Our Circle of Care includes helping families navigate Arizona’s Parents as Paid Caregivers Phoenix program, which may provide compensation for the extraordinary care you provide to ensure your child reaches their full potential.