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Goals for the management of spasticity in children
Children with spasticity
Mainly the paediatric neurology team, but this may be of help to others members of the multidisciplinary team caring for children with spasticity.
Children with cerebral palsy and other non-progressive neurological motor disorders often have increased muscle tone due to spasticity which impacts on their motor function, posture, comfort, quality of life and can result in musculoskeletal complications. This guideline summarises standard care approaches and the role of the Paediatric Complex Motor Disorder service as part of the network of health care for children with spasticity in NHS Greater Glasgow & Clyde.
Additional information about local care pathways and national guidance can be found on the NHS Greater Glasgow & Clyde StaffNet Cerebral Palsy Management page and by referring to the NICE guideline ‘Spasticity in under 19s: management’.
24hr Postural Management
Active Therapy Programme
Referral to Paediatric Neurology Complex Motor Disorders (CMD) Service*
Referral to Paediatric CMD Botulinum Toxin Service*
*RHC Complex Motor Disorders & Botulinum toxin service referral form
Referral to Paediatric Orthopaedic Service
Intrathecal Baclofen (ITB)
Selective Dorsal Rhizotomy
Spasticity in children and young people with non-progressive brain disorders: NICE guideline July 2012.
Guidance on Good Practice for the provision of 24 Hour Postural Management in Children and Young People. NHSGG&C Group of Allied Health Professionals, October 2013 [Staffnet link]
Cerebral Palsy Integrated Pathway Scotland (CPIPS).
Guidance for the Management of Ambulant Children with Neurological Conditions including Orthopaedic Single Event Multilevel Surgery (SEMLS) – Pathways and Protocols. NHSGGC 2011 revised 2014. [Staffnet link]
Selective Dorsal Rhizotomy (SDR) Scotland Service Pathway Review date: March 2020
Last reviewed: 03 December 2020
Next review: 01 November 2023
Author(s): Valerie Orr