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Symposium

Brain Injury

Pediatric Rehabilitation

Spasticity

An Interdisciplinary Approach to Improving Tone Management in Pediatric Patients with Disorders or Consciousness 4524

Sunday, November 3, 2024
12:45 PM – 1:45 PM  
Location:  ROOM: Coronado C REGION: Tower Lobby Level >>> DIRECTIONS: From ACRM Registration desk, face the elephants and turn right. Proceed past the lobby elevators and turn right to enter the West Wing. Proceed down the corridor, turn right and then left. Proceed past the restrooms. Coronado C is the second room on the right.
The number of pediatric patients living with a Disorder of Consciousness (DoC) is growing as lifesaving treatments improve. Pediatric patients with DoC present a diagnostic and treatment challenge due to medical complexity with high incidence of comorbid conditions, immature motor and communication skills for younger ages, and uncertainty in treatment with a lack of comprehensive guidelines. There are no evidence-based guidelines available for the management of spasticity after TBI in children or adults. Uncontrolled tone and movement disorders can mask signs of consciousness by inhibiting one's ability to interact with the environment. Accurate and comprehensive assessment is necessary for successful treatment. In this symposium, the team will describe how to achieve optimal assessment and tracking in the context of clinical events with an interdisciplinary approach. We developed a standardized, multi-disciplinary assessment approach to tracking tone in this complex patient population to optimize tone management interventions and patient outcomes.

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Learning Objectives:

  • Describe current evidence regarding tone management and severe brain injury.
  • Identify the importance and challenges of tone management for improved function/access in pediatric patients with severe brain injury
  • Explain how a standardized interdisciplinary assessment and tracking system for fluctuation and changes in tone can optimize tone management and patient outcomes.
  • Describe appropriate outcome measures that can be used to contribute to evidence-based practice improvements for pediatric patients with severe brain injury.
Disclosure(s):
Abigail Case, MD: No financial relationships to disclose
Lauren E. McCole, PT, DPT, PCS: No financial relationships to disclose
Jacqueline Conklin, MS OTR/L BCP: No financial relationships to disclose