Spasticity Clinic (Ambulant)

The Ambulant Spasticity Clinic at CRC offers a National consultancy service for children presenting with focal spasticity.  This clinic explores how focal spasticity is affecting a child’s lower limb function and participation, through comprehensive assessment which may also include gait analysis. The clinic is a Paediatrician-led multidisciplinary consultation.  Treatment approaches may include exercise, orthoses, casting, oral medication and injection medication (Botulinum Toxin). Onward referral for a surgical opinion including SDR assessment may be considered. Therapy advice/support to parents, families and health professionals on CDNTs is also given. Most children who attend have a primary physical disability, primarily cerebral palsy (GMFCS level I - III)

MDT Team: Consultant Pediatrician, Clinical Nurse Specialist, Physiotherapist

General Referral Criteria:

• Diagnosis of cerebral palsy GMFCS I-III
• Dynamic, focal or multi-focal spasticity causing difficulty in the area of impairment, activity or participation.
• Age range 2-10 years

General Exclusion Criteria:

• GMFCS IV-V. Consider referral to Complex Tone Clinic or Orthopaedics.
• Fixed contracture (this may be addressed by casting and then botulinum toxin reconsidered)
• Generalised spasticity

Note: Selective Dorsal Rhizotomy (SDR) queries and potential referrals are processed through the Spasticity Clinic and enquiries are to contacts above.

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Contact Email:

spasticityclinic@crc.ie

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