Neurorehabilitation
The Bristol Royal Children's Hospital Neuro-Rehabilitation Unit
consists of 8 specially funded beds where children with impaired
function following neurological injuries, conditions or disorders
are able to receive care from a team of specialist
multi-disciplinary professionals.
Children appropriate for the Neuro-Rehabilitation Service
will usually be referred by the Neurology, Oncology or
Neurosurgical medical teams. New patients will be discussed at the
weekly Neuro-Rehabilitation team meeting to decide if they would
benefit from the service. Patients accepted for
Neuro-Rehabilitation usually require more long-term rehabilitation
and complex discharge planning.
The types of conditions that we may see
include:
- Brain and spinal cord tumours (in particular Posterior
Fossa Syndrome)
- Traumatic/acquired brain injury (including paediatric
stroke)
- Traumatic/acquired spinal cord injury
- Inflammatory and demyelinating disorders (such as
Guillain-Barre, Transverse Myelitis, Acute Flaccid Myelitis,
ADEM)
- Movement deficits following epilepsy surgery
- Movement disorders (such as dystonia, dyskinesia, chorea,
ataxia)
- Neuro-psychiatric disorders
- Medically unexplained neurological symptoms
Children may receive care from any number of our team
which consists of:
- Doctors - Two lead Neuro-Rehabilitation Consultants and
their medical teams
- Neuro-Rehabilitation Nurses
- Major Trauma Team
- Discharge Planning Co-ordinator
- Physiotherapists
- Occupational Therapists
- Speech and Language Therapists
- Neuro-Psychologists
- Dieticians
- Orthotists
- Play Therapists
- Music Therapists
We all work together to maximise your child's rehabilitation
potential. We aim to help your child to regain function after a
neurological event and reduce any risk of complications resulting
from the condition. We will make appropriate recommendations if
ongoing input is required and aim to facilitate a safe, planned
discharge home.
We have a dedicated rehabilitation therapy gym where
sessions take place with a variety of equipment and toys available
to help facilitate treatment. Identifying goals for your child to
work towards is very important as we want to know and understand
what their priorities are; we work closely with children and their
families to set functional goals which they are motivated to
achieve. Families are taught how to participate in their
child's rehabilitation and play a vital role in their child's
progress.
We liaise with Community Teams to ensure a smooth
transition from hospital to home, which includes Discharge Planning
Meetings, where all of the Professionals involved in your child's
care contribute. Discharge is reviewed in a holistic way,
considering important aspects such as re-integration to school or
referral to special education needs schools. If needed, we can also
liaise with Social Care Teams and Social Workers to assess for
packages of care, nursing and psychological needs.
We have access to specialist services and charities such
as the Botulinum Toxin Service, Complex Movement Disorders Service
(including Intra-Thecal Baclofen and Deep Brain Stimulation),
Orthopaedics, Orthotics, Wheelchair Services, and the Child Brain
Injury Trust (CBIT).
Useful contact numbers
Lisa Hutchens (Physiotherapy Team
Lead) 0117 3428762
Rebecca Muir (Occupational Therapy Team Lead)
0117 3427896
Helen Cullimore (Speech and Language Therapy Team
Lead) 0117 3427896