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> Cerebral Palsy Diagnosis

Testing for cerebral palsy is never an easy process, but if you understand what to expect beforehand and prepares yourself for the fact that your child may undergo a series of tests and exams, the process will go a bit smoother.

Although there isn’t one single exam or test that confirms cerebral palsy, a series of observations, screenings, and testing over this first 2 to 5 years is typically how the diagnosis is made. Testing can include measuring growth, development, and ruling out other conditions.

In some instances, cerebral palsy symptoms are so severe shortly after birth that a physician can make the diagnosis right away.Early diagnosis is important as the sooner intervention and treatment begins, the better the child’s quality of life can be.

All infants undergo screenings when born in order to uncover any disorders or medical issues. For example, all states in the nation administer screenings on newborns for sickle cell diseases, PKU (phenylketonuria), hypothyroidism, and galactosemia. Other screenings that occur in most states including hearing screenings and metabolism disorder screenings.

An APGAR (activity, pulse, grimace, appearance, and respiration) score is almost always performed on newborns in order to check for heart and respiratory health. A low APGAR may indicate that further screenings and possible tests are needed.

Although screenings will not diagnose cerebral palsy, they are an important factor in determining if further tests are needed in order to diagnose medical conditions that can’t be diagnosed with screenings alone.

Developmental screenings are generally given at certain ages (9 months, 18 months, and 24 or 30 months) to see if the child is developing properly and rule out any issues. During 9 months of age, issues with an infant’s movements can be seen more easily when compared to birth. Cerebral palsy may be noticed at this stage, but physicians will need to run additional tests to be sure.

Mild movements, however, are easier seen when the baby turns 18 months old, but between 24 and 30 provides doctors with the best options in observing all kinds of movement.

These developmental screenings are extremely important as your child’s physician can start early intervention as soon as possible.Numerous early intervention services are available in most areas to help both children and families, including family training, speech therapy, physical therapy, occupational therapy, assistive technology, and much more.

Tests, more definitive and conclusive when compared to screenings, can help rule out conditions and assist physicians in pinpointing cerebral palsy. As mentioned earlier, there is no single test to diagnose cerebral palsy, but if a doctor suspects the disorder, a series of tests will be conducted.

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Photographers who are quadriplegic or legally blind are taking amazing images using ingenious hacks and other senses.

Lexy Savvides
Greg Wickenburg

Tara Miller sees the world through the diameter of a straw, but that doesn't stop her from capturing the exact moment when a new bride throws her bouquet into the wedding crowd.

Miller is a legally blind commercial photographer in Winnipeg, Manitoba. You might think photography relies on seeing the moment, but Miller uses hearing and instinct. If shooting baseball, "I hear the contact of the ball on the bat," she says. "I have my camera facing the same way and everything is set perfectly, I know I have that shot."

To read more stories from CNET Magazine, click .

Born with congenital rubella syndrome, Miller became a keen photographer during her teenage years even as her vision was deteriorating from glaucoma. Later, she had a corneal edema and macular degeneration and in summer 2017, Fuchs syndrome clouded over the remaining 3 percent vision in her left eye.

Miller is not alone in using nontraditional methods to capture her shots. Other professional photographers and videographers lack use of their hands, forcing them to rely on their other senses and develop new ways to use a camera. Some methods are homegrown, but camera makers are also responding with customizations to suit their needs.

Getting the shot

To know when her camera is ready for a shot, Miller feels the vibration of the lens when it focuses, whether that's on the sports field or in the kitchen shooting a celebrity chef. Once she has her photos, Miller brings them into Adobe Lightroom to make her edits, zooming in to 300 percent, then using her remaining vision to make sure everything is sharp.

Miller likens her process to working with film where, unlike with a digital camera, you don't know if you have the shot until the photo is developed. She knows what the images should look like in her head, but has to wait for them to be "developed" before she can actually tell. "I used to get jealous because [sighted photographers] could look at what they had on their screen and shoot again," she says. "Being sighted or not sighted, you're still going to have that chance of not getting it."

More often than not, Miller gets the shot. She won the Canadian National Institute for the Blind's Eye Remember photography competition with her image "Fortuitous Twilight" in 2011. The contest was open to both blind and non-blind entrants, and Miller was the only visually impaired finalist. The judges didn't know she was blind until after awarding her the prize.

Miller's award-winning image, Fortuitous Twilight.

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