Cerebral Palsy — RACP Paediatrics MCQ

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ModerateNeurology & DevelopmentCerebral PalsyRACP Paediatrics

A 6-year-old child with newly diagnosed cerebral palsy (spastic diplegia, GMFCS level III) presents for multidisciplinary review. Which intervention has the strongest evidence for improving motor function?

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Correct answer: D — Goal-directed physiotherapy and activity-based interventions

Evidence-based interventions for cerebral palsy emphasise goal-directed, activity-based physiotherapy interventions focusing on participation and functional goals. The Australasian Academy of Cerebral Palsy and Developmental Medicine supports intensive, task-specific motor training. Hyperbaric oxygen and cranial osteopathy lack evidence. Oral baclofen may help with spasticity but does not improve motor function.

Reference: Australasian Academy of Cerebral Palsy and Developmental Medicine – 2024 – Best Practice Guidelines