The Cerebral Palsy and Spasticity Program brings together a multidisciplinary team from the Nicklaus Children’s Hospital Orthopedic, Sports Health and Spine Institute and Brain Institute. The teams work collaboratively to treat children with movement conditions and disorders, including cerebral palsy. The program is one of the few of its kind in the state of Florida for the treatment of children with cerebral palsy and spasticity.
The Importance of a Team Approach to Care
During clinic visits, patients are seen by specialists in orthopedics, neurology, neurosurgery, psychiatry and physical/occupational therapy. Specialists meet after each clinic and discuss every case individually. The clinical coordinator reaches out to the family to review treatment recommendations and schedule specific interventions. The program also includes in-house orthotists that work with patients and families to measure and fit patients with supportive devices.
The goal is to maximize movement, comfort and quality of life for affected children and their families.
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.
Wheelchair/Seating and Mobility Clinic