Treatment Options for Spasticity

A common characteristic of various neurological disorders is spasticity, which is the excessive tightness or tension of certain muscle groups. It interferes with smooth, coordinated motions, and results in limited movement patterns and impaired motor skills.

The program offers both medical and surgical interventions for the treatment of cerebral palsy.  Medications include oral baclofen. The program also provides selective spasticity control using Botox and disport injections. A Botox or Dysport injection is an injection of botulinum toxin (which causes temporary paralysis) into a muscle to relieve spasticity and involuntary movements.

Children able to walk alone or with braces, walker, or crutches may be videotaped. Each team member will examine the child. The group will then meet to discuss which procedure will be in the child's best interest. The surgeon will discuss with the family the risks and the potential benefits and if surgery is scheduled, the clinical nurse specialist will assist in obtaining equipment and coordinating therapies.

While neither of these spasticity treatments - selective dorsal rhizotomy or the Baclofen pump - will eliminate the underlying neurological problem (e.g. Cerebral palsy), reducing the spasticity may allow better muscle control and function. Physical and occupational therapy will also be essential before and after surgery.

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Wheelchair/Seating and Mobility Clinic

The Wheelchair and DME (Durable Medical Equipment) Clinic held once a week, serves children with a variety of musculoskeletal conditions ranging from muscular dystrophy, spina bifida and cerebral palsy. Patients can be evaluated and fitted for wheelchairs, specialized walkers, chairs and bath equipment. There is a multi-specialty group of providers including a physical therapist, orthotist and wheel chair vendors who evaluate each patient’s abilities and needs.

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