Management of spasticity in children with cerebral palsy.
Spasticity and other forms of muscle overactivity caused by cerebral palsy may impair function or ease of care or may cause discomfort or poor body image. The treatment program for a child with spasticity may include allied health therapy, exercise, casting, constraint-induced therapy, oral medications, chemodenervation, intrathecal baclofen, selective dorsal rhizotomy, and orthopedic surgery. Techniques may be combined for greater efficacy and better tailoring to the needs of the child. This article provides an overview of each approach, with a review of significant research findings in support of each.
Tilton
Ann
A
Department of Neurology, Louisiana State University Health and Sciences Center, New Orleans, LA 70118, USA. atilto@aol.com
D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000628:therapy; D002648:Child; D006801:Humans; D009125:Muscle Relaxants, Central / Q000008:administration & dosage; D009128:Muscle Spasticity / Q000628:therapy*; D009989:Orthotic Devices; D026741:Physical Therapy Modalities; D019051:Rhizotomy
D018726:Anti-Dyskinesia Agents; D009125:Muscle Relaxants, Central