Evaluation

• Medical review at clinic
• Review medications for spasticity
• Think of all of the systems (e.g. pain with constipation, overuse)
• Examine behavior - is pain contributing?
• Pain scales
  • Non-communicating Children's Pain Checklist-revised
  • Non-communicating Children's Pain Checklist- Post-op

Intervention

• Massage
• Relaxation techniques (e.g. breathing, yoga)
• Hydrotherapy
• Heat therapy
• Positioning
• Distraction
• Assist families in advocating for assessments/ follow up care