This surveillance aid will facilitate the identification of motor weakness that presents between birth and five years of age. This aid is designed for children who were born on or after 38 weeks of gestation. If a child is born prior to 38 weeks of gestation, please use adjusted age for developmental milestones.
The assessment of milestones recommended in this aid is consistent with the Bright Futures Guidelines. The exception is rise to stand from floor, which is not included as a Bright Futures milestone but is a quick, easy, and important way to identify motor weakness.
During surveillance, recall the Clinical Pearl: Red flags for urgent referral include tongue fasciculation, loss of motor milestones, or CK greater than 3x normal.
Early diagnosis can help target interventions, improve outcomes, reduce family distress related to the diagnostic process, and provide the opportunity for accurate genetic counseling. MORE CLINICAL PEARLS
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