Clinical Pearl: GMFCS level is the strongest predictor of long-term ambulation. Genetic diagnosis does not change GMFCS but may redirect treatment strategy (e.g., DRD → levodopa instead of SDR).

7:T7b0,

A 4-year-old child born at term without perinatal complications has been labeled with 'spastic diplegic cerebral palsy.' MRI is reported as normal. She has diurnal fluctuation of her tone — worse in the evening, better in the morning. The most important next step is: