Full-term pattern cerebral palsy comes in two varieties, one of which can be helped by a Baclofen Pump. The major indication for use of a pump in a child with […]
Selective Dorsal Rhizotomy (SDR) in Cerebral Palsy
It is important to distinguish between Preterm and Full-term pattern cerebral palsy. The circles on the stick figures indicate the areas of highest tone in the two conditions. The brain […]
Botox, Orthopedic Surgery, Posterior Rhizotomy and/or a Baclofen Pump?
What do you need to know to make the best choice(s)? I have both good news and bad news. The good news is that there are a wide variety of […]
A New Way Of Thinking About AFO’s – Spasticity Series #6
The boy on the left with a ball is wearing a set of standard issue AFO’s that block the spastic tendency to plantar flex at the ankle. The boy on […]
First the Trunk, Then the Ankle – Spasticity #5
There is a continuing debate about the use of ankle supports/braces in children with cerebral palsy. In my experience, where there are polarized opinions, it usually means that there are […]
Spasticity is a Body and Brain Habit
Spasticity is a term used to describe tone changes that are common in cerebral palsy. Unfortunately, it is a generic term that is effectively useless when applied to a specific […]
Muscle Imbalance Hurts Growing Bodies
Baby brains and nerves have an exuberant amount of neuroplasticity in the first 3 to 4 years of life, but in many cases, doing our current therapy interventions in an […]
What About Spasticity?
I recently received a very good email from a parent asking about why I… and many others… seem to talk more about CP than about spasticity. She wants to know […]