Complex Movement Disorder Service
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
