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First, Observe the Patient

First, Observe the Patient EDITORIAL More things are missed by not looking than by not seeing. Arnold J. Capute, MD EREBRAL PALSY (CP) is a disorder of move- the traditional neurologic examination is insufficient to ment and postural control that is caused the task, and to a level of prediction that exceeds that of by a defect or lesion of the developing brain imaging by ultrasound. The recognition of persis- brain. The brain defect or lesion is static tent cramped synchronized movements predicts a later di- C (not progressive), though the clinical agnosis of CP; the earlier the appearance of cramped syn- manifestations of the defect can be expected to change as chronized movements, the more severe the subsequent CP. the brain develops and the child grows. The resulting func- Several aspects of this work should be noted: First, tional limitations and their effects on the activities of the the technique is an evaluation of observed spontaneous individual become the disability. The prevalence of CP is movements rather than the elicitation of individual signs about 2 per 1000 live births, with just over half occurring or reflexes. It is part of work originated by Prechtl more 1,2 in children who were born at http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

First, Observe the Patient

JAMA Pediatrics , Volume 156 (5) – May 1, 2002

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Publisher
American Medical Association
Copyright
Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpedi.156.5.422
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL More things are missed by not looking than by not seeing. Arnold J. Capute, MD EREBRAL PALSY (CP) is a disorder of move- the traditional neurologic examination is insufficient to ment and postural control that is caused the task, and to a level of prediction that exceeds that of by a defect or lesion of the developing brain imaging by ultrasound. The recognition of persis- brain. The brain defect or lesion is static tent cramped synchronized movements predicts a later di- C (not progressive), though the clinical agnosis of CP; the earlier the appearance of cramped syn- manifestations of the defect can be expected to change as chronized movements, the more severe the subsequent CP. the brain develops and the child grows. The resulting func- Several aspects of this work should be noted: First, tional limitations and their effects on the activities of the the technique is an evaluation of observed spontaneous individual become the disability. The prevalence of CP is movements rather than the elicitation of individual signs about 2 per 1000 live births, with just over half occurring or reflexes. It is part of work originated by Prechtl more 1,2 in children who were born at

Journal

JAMA PediatricsAmerican Medical Association

Published: May 1, 2002

References