In general, treatment options for management of spasticity in children with cerebral palsy include oral medications, physical and occupational therapy, splinting and casting, chemodenervation with botulinum toxin or phenol, selective dorsal rhizotomy, intrathecal baclofen, and orthopedic surgery[4-6,8,10,11,17,18].
How do you treat spasticity in children?
Treatments. Spasticity management includes a variety of treatment options including stretching, splinting and bracing, chemoneurolysis via botulinum toxin A (brand name Botox®) and/or phenol injections, antispasticity medications, intrathecal baclofen (ITB) therapy, and selective dorsal rhizotomy (a type of surgery).
What is the first line management for spasticity in a child with cerebral palsy?
Baclofen (Lioresal) is first-line oral therapy for the treatment of spasticity in children with cerebral palsy.
Which therapy is best for cerebral palsy?
A variety of therapies play an important role in treating cerebral palsy:
- Physical therapy. Muscle training and exercises can help your child’s strength, flexibility, balance, motor development and mobility. …
- Occupational therapy. …
- Speech and language therapy. …
- Recreational therapy.
What is the best medication for spasticity?
Oral medications used to treat spasticity include:
- Baclofen (Lioresal®)
- Tizanidine (Zanaflex®)
- Dantrolene sodium (Dantrium®)
- Diazepam (Valium®)
- Clonazepam (Klonopin®)
- Gabapentin (Neurontin®)
How is spasticity treated in cerebral palsy?
In general, treatment options for management of spasticity in children with cerebral palsy include oral medications, physical and occupational therapy, splinting and casting, chemodenervation with botulinum toxin or phenol, selective dorsal rhizotomy, intrathecal baclofen, and orthopedic surgery[4–6,8,10,11,17,18].
What is spasticity in cerebral palsy?
Spastic cerebral palsy is the most common type of cerebral palsy. The muscles of people with spastic cerebral palsy feel stiff and their movements may look stiff and jerky. Spasticity is a form of hypertonia, or increased muscle tone. This results in stiff muscles which can make movement difficult or even impossible.
Which drug regimen is used in the treatment of muscle spasticity in patients with cerebral palsy?
Diazepam is one of the most widely used medications for spasticity in children and young people with cerebral palsy along with baclofen, gabapentin, trihexyphenidyl.
What does baclofen do for cerebral palsy?
Baclofen will relax spastic muscles so that individuals with cerebral palsy can practice moving with correct form. It won’t feel natural or comfortable at first, but the more you practice the movement, the more your brain will strengthen the neural pathways necessary to build new habits.
How does Diazepam help with cerebral palsy?
Diazepam – Also known as “Valium” this drug is a sedative, anti-convulsant and muscle relaxant. Also used for anxiety and minor surgeries, Diazepam is most commonly known to relieve seizures, relieve muscle spasms and spasticity for cerebral palsy sufferers.
What is the latest treatment for cerebral palsy?
Stem cell therapy is an emerging treatment for a variety of conditions, including cerebral palsy. Stem cells are cells in the body that have the ability to grow and change into other types of cells. The easiest stem cells to access and use for treatment are found in the umbilical cord blood of newborns.
What are the basic therapeutic approach to cerebral palsy?
Physical therapy, occupational therapy, speech and language therapy, along with adaptive equipment, are popular forms of treatment for children with Cerebral Palsy. Used within a coordinated, comprehensive treatment plan, therapy plays a vital role in managing the physical impairment while optimizing mobility.
How can you help a child with cerebral palsy in the classroom?
There are other important ways to make a classroom more welcoming and inclusive for any child living with cerebral palsy.
- Embrace Technology. …
- Make Space. …
- Use Assigned Seating. …
- Change up Instructional Methods. …
- Provide Choice. …
- No Tolerance for Bullying. …
- Collaborate with Teachers and Parents.
Which drugs are used to treat spasticity select all that apply?
Medications used in the treatment of spasticity include the following:
- Skeletal muscle relaxants (dantrolene sodium, baclofen)
- Benzodiazepines (diazepam)
- Alpha2-adrenergic agonists (clonidine, tizanidine)
- Botulinum toxins (onabotulinumtoxinA, abobotulinumtoxinA, incobotulinumtoxinA)
What is tizanidine used for?
Tizanidine is used to help relax certain muscles in your body. It relieves spasms, cramping, and tightness of the muscles caused by medical problems, such as multiple sclerosis or certain injuries to the spine.
Is there medication for spasticity?
Baclofen, diazepam, tizanidine and dantrolene are currently approved for use in patients with spasticity. In addition, clonidine (usually as combination therapy), gabapentin and botulinum toxin have shown efficacy, however, more studies are required to confirm their place in therapy.