Providers
Healthcare providers—such as doctors, nurses, therapists, and case workers—have specialized expertise in diagnosing and treating developmental conditions. When identifying cerebral palsy early, these professionals collaborate to ensure an accurate diagnosis and deliver comprehensive insights during a child's first year of life.
Roles & Responsibilities
Different healthcare and educational providers each contribute unique roles in supporting children with cerebral palsy. At the same time, a provider’s training and experience may shape how those roles are carried out in practice. There is often overlap between disciplines, especially in the early detection, diagnosis, and care of CP. Learn more about how you can best serve children with CP in your role.
CP Early Detection Guidelines
Are you interested in implementing best practices in your hospital or clinic for early identification and referral for infants at risk for CP? Use the tools below to get started and contact Ei3 for help if you encounter roadblocks.
Your partnership could make a lasting impact
Early Detection Training for cerebral palsy
In order to implement the international guidelines for the early detection of CP in hospitals and clinics, we need to have enough trained practitioners to administer necessary gold standard developmental assessments.
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HINE is the ideal neurological exam to use in the early detection of cerebral palsy. It is scorable allowing for use in research and practice with infants 2 to 24 months of age. Training is widely available from certified trainers throughout the world. Sign up for HINE training, and learn more in the video below.
Reference: Use of the Hammersmith Infant Neurological Examination in infants with cerebral palsy: a critical review of the literature. DMCN 2016 58(3) p 240. Link
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HNNE is a neurological exam designed for neonates and infants through 3 months of age. It is used in research and some clinical practice. Training is available through some who also provide HINE training.
Reference: Huf, I.U., Baque, E., Colditz, P.B. et al. Neurological examination at 32 weeks postmenstrual age predicts 12-month cognitive outcomes in very preterm-born infants. Pediatr Res 93, 1721–1727 (2023). Link
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The Precthl General Movement assessment has shown its merit for the prenatal and postnatal evaluation of the integrity of the nervous system under 5 months of age. Compelling evidence is available that the assessment of General Movements (GMs) at 3-4 months is the best predictor for cerebral palsy. This method has become a potent supplement to the traditional kind of neurological examination. Training can only be provided by GM Trust Tutors who hold training world wide. Sign up for training
Reference: The Predictive Accuracy of the General Movement Assessment for Cerebral Palsy: A Prospective, Observational Study of High-Risk Infants in a Clinical Follow-Up Setting. J Clin Med. 2019 Oct 25;8(11):1790. doi: 10.3390/jcm8111790. PMID: 31717717; PMCID: PMC6912231. Link
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The TIMP is a test of functional motor behavior in infants for use by physical therapists, occupational therapists, and other health professionals in special care nurseries, early intervention, outpatient therapy, or high-risk follow-up clinics. The TIMP assessing postural and selective control of movement and provides a comparison to developmental expectation for young infants needed to accurately assess for delays in children 4 months and under. Sign up for training
Reference: The Test of Infant Motor Performance at 3 months predicts language, cognitive, and motor outcomes in infants born preterm at 2 years of age. Link
HINE Training
The Hammersmith Infant Neurological Examination (HINE) is a standardized assessment for infants aged 2–24 months that helps detect early neurological impairments and identify risk for cerebral palsy with 90% sensitivity before 5 months corrected age.
