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    Pediatrics
    May 2013
    From the American Academy of Pediatrics
    Clinical Report

    Motor Delays: Early Identification and Evaluation

    Garey H. Noritz, Nancy A. Murphy, NEUROMOTOR SCREENING EXPERT PANEL
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    This article has a correction. Please see:

    • Nortitz GH, Murphy NA, NEUROMOTOR SCREENING EXPERT PANEL. Motor Delays: Early Identification and Evaluation. Pediatrics. 2013;131(6). Available at: www.pediatrics.org/cgi/content/full/131/6/e2016 - September 01, 2017
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    Abstract

    Pediatricians often encounter children with delays of motor development in their clinical practices. Earlier identification of motor delays allows for timely referral for developmental interventions as well as diagnostic evaluations and treatment planning. A multidisciplinary expert panel developed an algorithm for the surveillance and screening of children for motor delays within the medical home, offering guidance for the initial workup and referral of the child with possible delays in motor development. Highlights of this clinical report include suggestions for formal developmental screening at the 9-, 18-, 30-, and 48-month well-child visits; approaches to the neurologic examination, with emphasis on the assessment of muscle tone; and initial diagnostic approaches for medical home providers. Use of diagnostic tests to evaluate children with motor delays are described, including brain MRI for children with high muscle tone, and measuring serum creatine kinase concentration of those with decreased muscle tone. The importance of pursuing diagnostic tests while concurrently referring patients to early intervention programs is emphasized.

    • motor delays
    • development
    • screening
    • neurologic examination
    • early intervention
  • Abbreviations:
    AAP —
    American Academy of Pediatrics
    CK —
    creatine phosphokinase
    CPT —
    Current Procedural Terminology
    DCD —
    developmental coordination disorder
    DMD —
    Duchenne muscular dystrophy
    • Copyright © 2013 by the American Academy of Pediatrics
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    Motor Delays: Early Identification and Evaluation
    Garey H. Noritz, Nancy A. Murphy, NEUROMOTOR SCREENING EXPERT PANEL
    Pediatrics May 2013, peds.2013-1056; DOI: 10.1542/peds.2013-1056

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    Motor Delays: Early Identification and Evaluation
    Garey H. Noritz, Nancy A. Murphy, NEUROMOTOR SCREENING EXPERT PANEL
    Pediatrics May 2013, peds.2013-1056; DOI: 10.1542/peds.2013-1056
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