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•Functional classification:

Class 1: No limitation of activity.

Class 2: Slight to moderate limitation.

Class 3: Moderate to great limitation.

Class 4: No useful physical activity.

Early detection of cerebral palsy: The diagnosis of cerebral palsy could be

suspected with:

History of risk factors:

Rubella , toxoplasmosis in the first trimester.

Neonatal jaundice , convulsions.

Developmental observation:

• Delayed motor milestones

Any infant who is not active as expected, who moves one limb less than the

other or keeps his hand clenched after age of 3 month.

• Feeding problems, drooling.

• Poor quality of sleep.

• On ventral suspension → U shaped → floppy infant

• Early sign of spasticity → diffculty of abduction of the thighs during

change of diaper

Early sign of spasticity → early neck support

Persistence of neonatal reflexes:

• Moro reflex after 6 months

• Grasp reflex after 4 month

• Asymmetric tonic neck reflex after 3 months
A child in supine position and not crying → passive rotation of the

head to one side → extension of limbs on the same side and flexion of