Review of Tone Management for the Primary Care Provider

Pediatr Clin North Am. 2021 Aug;68(4):929-944. doi: 10.1016/j.pcl.2021.04.018.

Abstract

Movement disorders in a pediatric population represent a spectrum of secondary functional deficits affecting ease of care, ambulation, and activities of daily living. Cerebral palsy represents the most common form of movement disorder seen in the pediatric population. Several medical and surgical options exist in the treatment of pediatric spasticity and dystonia, which can have profound effects on the functionality of these patients. Given the complex medical and surgical problems in these patients, children are well served by a multidisciplinary team of practitioners, including physical therapists, physical medicine and rehabilitation physicians, and surgeons.

Keywords: Cerebral palsy; Dorsal rhizotomy; Dystonia; Intrathecal baclofen; Pediatric movement disorders; Spasticity.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Cerebral Palsy / complications
  • Cerebral Palsy / rehabilitation*
  • Child
  • Dystonia / etiology
  • Dystonia / rehabilitation*
  • Evidence-Based Medicine / methods*
  • Humans
  • Muscle Spasticity / etiology
  • Muscle Spasticity / rehabilitation*
  • Patient Care Team / organization & administration
  • Primary Health Care / organization & administration*