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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

High-probability CP counselling — OSCE station

OSCE on early CP recognition, classification language and family counselling.

osce communication and clinical reasoning1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
Parents of a 5-month corrected-age preterm graduate with abnormal movement quality and low HINE scores.

Station brief

You are in neonatal follow-up. The infant is 5 months corrected age after extreme prematurity. Movement quality is abnormal. HINE is low in a trained assessment. MRI shows white-matter injury. Parents ask: “Is this cerebral palsy? How bad will it be? Should we wait?” [1] [11]

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References10ShowHide
  1. [1]Novak I Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA pediatrics, 2017.PMID 28715518
  2. [2]Bax M Proposed definition and classification of cerebral palsy, April 2005. Developmental medicine and child neurology, 2005.PMID 16108461
  3. [3]Rosenbaum P A report: the definition and classification of cerebral palsy April 2006. Developmental medicine and child neurology. Supplement, 2007.PMID 17370477
  4. [4]Palisano R Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental medicine and child neurology, 1997.PMID 9183258
  5. [5]Palisano RJ Content validity of the expanded and revised Gross Motor Function Classification System. Developmental medicine and child neurology, 2008.PMID 18834387
  6. [10]Romeo DM Hammersmith Infant Neurological Examination in infants born at term: Predicting outcomes other than cerebral palsy. Developmental medicine and child neurology, 2022.PMID 35201619
  7. [11]Fehlings D The Hammersmith Infant Neurological Exam Scoring Aid supports early detection for infants with high probability of cerebral palsy. Developmental medicine and child neurology, 2024.PMID 38818710
  8. [13]Morgan C Effectiveness of motor interventions in infants with cerebral palsy: a systematic review. Developmental medicine and child neurology, 2016.PMID 27027732
  9. [15]Te Velde A Age of Diagnosis, Fidelity and Acceptability of an Early Diagnosis Clinic for Cerebral Palsy: A Single Site Implementation Study. Brain sciences, 2021.PMID 34439692
  10. [17]Rosenbaum P Classification in childhood disability: focusing on function in the 21st century. Journal of child neurology, 2014.PMID 24810083
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