For many children with quadriplegia or marked muscle weakness, one pair of hands is often not enough to help the child move well. A compressive garment is a Quick Fix. […]
Quick Fixes for 2014 – Stabilize the Wrist and Thumb
Happy New Year. I am starting off the year with some tips and tricks to get you the “biggest bang for your buck” in the shortest possible time. It is […]
Intensives In Puberty: Take Advantage of Neuroplasticity
Puberty can be a second chance or a complete disaster – the outcome depends on the choices you make during this important period. Unfortunately, to take advantage of this period […]
Take Advantage of the Periods of Peak Neuroplasticity
Children’s brains grow at a higher rate throughout the first 18 to 24 years of life than they do as adults. Within this extended time period, there are two periods […]
Intrathecal Baclofen Pump In Cerebral Palsy
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 […]