Classification of abnormal neurological outcome

Early Human Development
Peter Rosenbaum

Abstract

When we engage in the systematic follow-up of high-risk neonates it is important to avoid the temptation to assume that any variations in development in this population reflect 'abnormality.' In this chapter I first present some personal reflections and hobby horses to argue that we need to be aware of our possible biases toward interpreting developmental or functional differences in infants as evidence of developmental pathology. Second, I stress the challenges associated with making early 'diagnoses' of developmental disabilities. Instead I suggest that identification of differences and variations in development should be interpreted cautiously, taking account of natural variations in early development and the chance to observe children over time rather than needing to make a decision on the basis of a single assessment. Finally, I discuss cerebral palsy and illustrate the arguments I have presented with discussion of current thinking about diagnosis and classification of CP.

References

May 1, 1982·Pediatrics·K B Nelson, J H Ellenberg
Jun 16, 2000·Developmental Medicine and Child Neurology·E Wood, P Rosenbaum
Feb 21, 2004·Developmental Medicine and Child Neurology·Christopher Morris, Doreen Bartlett

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Citations

Dec 12, 2007·Archives of Gynecology and Obstetrics·Franco BorrutoAlain Treisser
Dec 3, 2013·Seminars in Fetal & Neonatal Medicine·Alicia Jane Spittle, Jane Orton
Mar 5, 2008·European Journal of Pediatrics·Jacqueline NuysinkPaul J M Helders
Sep 10, 2010·Physiotherapy Theory and Practice·J NuysinkP J M Helders
Aug 28, 2007·Seminars in Fetal & Neonatal Medicine·Joe Fawke
Jul 3, 2007·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Domenico M M RomeoMario G Romeo
Nov 11, 2006·The Journal of Pediatrics·Peter Rosenbaum
May 7, 2009·Developmental Medicine and Child Neurology·Tamis W PinMary P Galea
Mar 23, 2011·Developmental Medicine and Child Neurology·Leena Haataja
May 12, 2015·Journal of Evaluation in Clinical Practice·Kine JohansenSteven Lucas
May 5, 2016·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Domenico M RomeoDaniela Ricci
Aug 12, 2010·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Tamis W PinMary P Galea

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