Obviously a great deal of devoted work has gone into the observations on which this small treatise is based. Assessment of the developmental deviations leading one towards a diagnosis of cerebral palsy continues to pose many a problem to the practicing pediatrician, neurologist, and orthopedist and any attempt to clarify the situation is to be commended. It is with reluctance, therefore, that this reviewer has to record his strong conviction that the approach herein suggested for the delineation of normal and abnormal patterns of neurologic development cannot be regarded as a particularly useful one either from the theoretical or practical standpoint.
Recourse to elicitation of cerebrospinal reflexes, considered normal or abnormal, is made mostly by those unfamiliar with patterns of integrated neuromotor and neuropsychological development in early childhood. However, estimation of neuromotor levels in the child with cerebral palsy, in the absence of evaluation of the level of adaptive functioning,