Tone management and spasticity program

Meeting your child's needs

Children with spasticity and other movement disorders have unique and complex needs. We take a team-based approach to work with you and your family to meet these needs. With our tone management and spasticity program, your child has access to the full range of current medical, surgical, and rehabilitative treatments.

Building strength and muscle tone

Tone management

Many types of neurologic injuries and illnesses can cause your child to have problems with muscle tone. Muscle tone sets the background for movement which is why improving muscle tone can help your child gain functional independence. Children’s offers medication, surgery and therapies to optimize tone.


Unusual tightness, sometimes caused by spasticity, in your child's muscles can interfere with his or her ability to eat, talk and move. We treat spasticity with a variety of techniques that include physical therapy, serial casting, bracing oral medication, botulinum toxin, phenol nerve block, and sometimes surgery. Surgical options can include tendon lengthening, baclofen pump or selective dorsal rhizotomy.

Team-based approach

Children’s provides access to all the specialists your child needs for complete care including: 

  • Pediatric physiatrists 
  • Pediatric neurosurgeons 
  • Orthopedic surgeons 
  • Physical therapists

Full range of treatments

Our program offers your child a range of current medical, surgical and rehabilitative treatments. These include: 

  • Oral medication 
  • Serial casting 
  • Botulinum toxin injections 
  • Phenol nerve blocks 
  • Intrathecal baclofen pump 
  • Orthopedic bracing or surgery 
  • Selective dorsal rhizotomy 
  • Therapeutic interventions 
  • Equipment recommendations

Gait lab

Children’s gait lab is a terrific tool for helping children improve movement – and helping us further our understanding and improve care. In the gait lab, we track your child’s movement with a computer using sensors attached to your child’s body. The computer then creates a 3D model that shows us how your child moves. That allows us to identify movements that need attention and correction.