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Complex Movement Disorder Service

Physiotherapy within the Complex Movement Disorder Team.

The specialist paediatric physiotherapist works as part of a multidisciplinary team for children with complex neurological conditions. 

What happens in CMD clinic?

The child will have an outpatient appointment to be assessed by a Neurologist and a Specialist Physiotherapist. Current treatments will be reviewed, and potential treatment options discussed as appropriate. This may include assessment of the suitability for a deep brain stimulation (DBS) device or for implantation of an intrathecal baclofen (ITB) pump.

DBS devices and ITB pumps are placed surgically in the body and used to deliver either electric impulses (DBS) or medication (ITB) to:

  • Relieve spasms
  • Prevent or manage deformity
  • Promote motor function
  • Improve ease of personal care
  • Improve the quality of life of children and young people with complex movement disorders

Alongside the Neurologist we will assess the effectiveness of medicines and offer specialist advice and support to community teams and families.

We will require your child to undress to an appropriate level to carry out a complete assessment.  Please bring appropriate clothing - shorts and a vest top is recommended. Please bring any walking aids or orthotics which your child normally uses.

How do we get referred?

Referrals can be made from the child's GP, Paediatrician, Neurologist, Orthopaedic Surgeon or Physiotherapist. The referral can be sent to Sally Smith, the CMD co-ordinator at the address below. We first organise an appointment to see the child at one of the Complex Movement Clinics (see above). Any information from the child's local physiotherapist and parents can be collected at this time to support the assessment.

We accept referrals from GPs, Paediatricians, Orthopaedic Surgeons, Neurologists or Physiotherapists.

Please send a referral letter to:

Complex Movement Disorder Team,
Bristol Royal Hospital for Children,
Upper Maudlin Street,
Bristol,
BS2 8BJ