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Physiotherapy - in the hospital

phys3The Neurophysiotherapy Team have extensive experience in a range of neurological conditions and syndromes that affect muscles, balance, posture, movement, co-ordination, growth, development and play.

Acute Neurosciences Team

The acute neurosciences team provides a service for inpatients with neurological conditions for example: following head injury, after neurosurgery, spinal cord injury and meningitis. We also assess and establish developmental and positioning programmes for babies who are inpatients, and provide advice on postural management for children who are inpatients with long term neurodisability.

We work closely with many teams and frequently carry out joint sessions with other therapists from Speech and Language Therapy and Occupational Therapy. We form a key role within the Head Injury Rehabilitation Team (HIRT) and also liaise closely with community therapists to assist discharge home.

The way we work:

  • All babies and children have an individual assessment
  • Standardised measures may be used to establish a baseline and measure change
  • A variety of treatment approaches are utilised incorporating Bobath, Motor Re-learning and Movement Control principles
  • Treatment programmes may include positioning, advice for families and carers, stretching or strengthening exercises, balance exercises and functional activities
  • Children may be referred to other disciplines i.e. hydrotherapy, orthotics
  • Treatment goals will be identified with the child and family

Neuromuscle Team

The team provide in and out-patient services for children with neuromuscular disorders and Long Term Ventilation (LTV). This clinic is the assessment forum for:

  • Diagnosis and management of Neuromuscular conditions
  • Arthrogryposis
  • Neuropathy
  • Complex spinal management, including surgery
  • Transition to Walton
  • Liaison/Advice to local therapists

Spasticity/Movement Disorders

The spasticity service is a multidisciplinary service for children with tone and movement disorders These Specialist Tertiary Clinics provide multiagency assessment, offering a range of interventions/support. We work jointly with colleagues from neurology, neurosurgery, upper limb service, orthopaedics and the gait laboratory to offer in-patient and out-patient assessment and treatment, in close collaboration with community colleagues. . Interventions provided include:

  • Pharmacological
  • Botulinum Toxin for upper and lower limbs
  • Intrathecal Baclofen (ITB)
  • Selective Dorsal Rhizotomy (SDR)
  • Deep Brain Stimulation (DBS)
  • Liaison/Advice to local therapists

Please visit: Nuerology or neurosurgery for more information

Obstetric Brachial Plexus Lesions (OPBL)

We provide assessment, advice and/or treatment for children within the Liverpool catchment area with Obstetric Brachial Plexus Lesions (OPBL)

5Other responsibilities of the team:

  • Regularly undertake clinical reasoning and in-service training sessions
  • Teaching role including internal and external courses
  • Members of special interest groups for example APCP, AACP, ACPIN, and BABTT
  • Networking with local / national working groups i.e. local network for ABI and paediatric oncology group, national network for physiotherapists working in ITB, national multi disciplinary network for SDR

 

Research/Projects

All members of the team are actively involved in local, national and international research. Current projects are:

  • Development of guidelines including spinal cord injury management and lower limb splinting
  • Research project examining practice of lower limb splinting (based on retrospective audit)
  • CARS Study – Comparison of Ataxia Rating Scales in Children with Posterior Fossa Tumours
  • North Star National Audit
  • For DMD Trial
  • Summit Trial
  • Hydrotherapy in Neuromuscular Disease
  • Respiratory Training in NM Disease
  • HMSN audit
  • National research project: “Sativex as an Adjunctive Anti-Spasticity Medication in Children aged 8-18 years with Cerebral Palsy or CNS Injury”
  • Botox Audit for upper and lower limb
  • SDR Audit and national data collection
  • Pain and spasticity

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