Rapid expansion of the evidence base, however, has
made it difficult for health professionals to keep up-todate
and it is challenging for families to know how to best
help their child. Outdated clinical care is regrettably being
provided to children with cerebral palsy.3,4 Consistent with
other fields, 10% to 40% are not offered proven effective
interventions, and another 20% receive harmful or ineffective
interventions.5 Furthermore, the persistent preference
for conservative late diagnosis of cerebral palsy following
failed milestones conflicts with current neuroscience evidence.
Very early intervention, close to the time of injury,
is now advised to optimize neuroplasticity.