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TABLE 3

Elements of the History or Examination That May be Seen in Children With CP

Perinatal HistoryDevelopmental HistoryExamination Findings
• Prematurity • Early rolling • Increased or decreased muscle tone 
• Low birth weight • Thumb in fist after 7 m • Scissoring of the legs 
• Neonatal encephalopathy • Inability to sit by 9 m • Asymmetric strength or reflexes 
• Neonatal seizures • Milestones attained “out of order” (able to pull to stand before able to sit) • Opisthotonus 
• Neonatal stroke or other known brain abnormality • asymmetric creeping or crawling • Persistent primitive reflexes 
• Congenital infection • Inability to walk by 18 m • Combination of ankle clonus, brisk deep tendon reflexes and persistent Babinski after 18 m 
• Chorioamnionitis • Persistent toe walking  
• Neonatal meningitis   
• Known hypoxic event   
Perinatal HistoryDevelopmental HistoryExamination Findings
• Prematurity • Early rolling • Increased or decreased muscle tone 
• Low birth weight • Thumb in fist after 7 m • Scissoring of the legs 
• Neonatal encephalopathy • Inability to sit by 9 m • Asymmetric strength or reflexes 
• Neonatal seizures • Milestones attained “out of order” (able to pull to stand before able to sit) • Opisthotonus 
• Neonatal stroke or other known brain abnormality • asymmetric creeping or crawling • Persistent primitive reflexes 
• Congenital infection • Inability to walk by 18 m • Combination of ankle clonus, brisk deep tendon reflexes and persistent Babinski after 18 m 
• Chorioamnionitis • Persistent toe walking  
• Neonatal meningitis   
• Known hypoxic event   

The presence of these elements does not mean that CP is definitely present, and their absence does not mean that CP can be excluded.

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