Related Experiment Video
Updated: May 11, 2026
A Battery of Motor Tests in a Neonatal Mouse Model of Cerebral Palsy
Published on: November 3, 2016
Motor delays: early identification and evaluation
Insights
Early identification of motor delays in children is crucial. This report outlines an algorithm for screening, diagnosis, and referral to improve developmental outcomes.
Area of Science:
- Pediatric Medicine
- Developmental Pediatrics
- Neurology
Background:
- Motor delays are frequently identified by pediatricians.
- Early detection of motor delays facilitates timely interventions and diagnostic evaluations.
- A structured approach is needed for consistent screening and management.
Purpose of the Study:
- To present an algorithm for the surveillance and screening of motor delays in children within the medical home setting.
- To provide guidance for initial workup and referral of children with suspected motor development delays.
- To enhance early identification and management of pediatric motor delays.
Main Methods:
- Development of a multidisciplinary expert panel algorithm for motor delay surveillance.
- Recommendations for formal developmental screening at key well-child visits (9, 18, 30, 48 months).
- Guidance on neurologic examination, focusing on muscle tone assessment, and initial diagnostic strategies.
Main Results:
- The algorithm provides a framework for identifying children with motor delays.
- Specific diagnostic tests are suggested based on muscle tone: brain MRI for high tone, serum creatine kinase for low tone.
- Emphasis on concurrent diagnostic testing and referral to early intervention programs.
Conclusions:
- The proposed algorithm aids pediatricians in the early identification and management of motor delays.
- Timely screening and appropriate diagnostic workup are essential for children with developmental concerns.
- Integrated care involving diagnostic evaluation and early intervention improves patient outcomes.
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.
