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Is baclofen the least worst option for spasticity management in children?
Baclofen is often considered a first-line treatment option for spasticity management in children. However, adverse effects, administration, and dosing can be barriers to effectiveness. In my practice, other medications for spasticity manage…
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Spasticity Interventions: Decision-Making and Management.
Spasticity results from an abnormality of the central nervous system and is characterized by a velocity-dependent increase in muscle tone or stiffness. In children, it can cause functional impairments, delays in achieving developmental or m…
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A consensus statement on the use of botulinum toxin in pediatric patients.
Botulinum toxin has been used in medicine for the past 30 years. However, there continues to be controversy about the appropriate uses and dosing, especially in the pediatric population. A panel of nine pediatric physiatrists from different…
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Quantifying passive muscle stiffness in children with and without cerebral palsy using ultrasound shear wave elastography.
[AIM] The aim of this study was to compare passive muscle stiffness in children with cerebral palsy (CP) and children with typical development using a novel ultrasound technique: ultrasound shear wave elastography (SWE). [METHOD] We conduc…