Get rid of the misconception: many normal babies also have toe landing performance, which may not be cerebral palsy. Many parents worry that their babies may have cerebral palsy because they are on their toes, so they seek medical help everywhere, and some of them suffer from many treatments such as drugs and instruments. Some of these babies with toe landing were born prematurely, and some were normal. We learned the pregnancy and delivery history of these mothers, the growth and development history of the children, and found no abnormalities through physical and neuromotor examinations and intelligence tests, and after follow-up observations, their subsequent motor development was found to be normal. Therefore, many babies who land on their toes are normal. So, how can you tell if a baby landing on his toes is normal or caused by cerebral palsy? There is a simple way to differentiate, that is, to check the dorsiflexion angle of the foot by straightening the baby’s leg, making the dorsum of the foot flex towards the calf, and pressing the bottom of the foot with the palm of the hand. Normal is 70 degrees or less than 70 degrees; for children with cerebral palsy, it is greater than 70 degrees, usually 90 degrees. Note that the baby’s lower limbs should be relaxed during the examination. Some doctors have done a study to observe 100 normal children born at full term and check for toe landing from 3-4 months of age, as well as checking the dorsiflexion angle and observing the infant’s motor development. The results were that 23% of the infants had toe landings between 4 and 10 months of age, but all of these infants had dorsiflexion angles of less than 70 degrees and all had normal motor development. When is cerebral palsy suspected? Cerebral palsy occurs in children with brain injury. Normal babies and most preterm babies do not have brain injury and usually do not have cerebral palsy, so there is no need to be nervous about landing on your toes. If a small preemie born under 32 weeks or an infant with other brain injury is suspected to have toe landing, be cautious and seek examination from a pediatric neurologist. Warm tips Children with cerebral palsy need early detection, early intervention, and professional rehabilitation treatment, which requires the joint efforts of the child’s family and the whole society.