PT  - JOURNAL ARTICLE
AU  - Daniel E Lumsden
AU  - Jill Cadwgan
TI  - Fifteen-minute consultation: A clinical approach to the management of the child with hypertonia
AID  - 10.1136/archdischild-2018-315978
DP  - 2020 Oct 01
TA  - Archives of disease in childhood - Education & practice edition
PG  - 276--281
VI  - 105
IP  - 5
4099  - http://ep.bmj.com/content/105/5/276.short
4100  - http://ep.bmj.com/content/105/5/276.full
SO  - Arch Dis Child Educ Pract Ed2020 Oct 01; 105
AB  - Elevated tone (hypertonia) is a common problem seen in the paediatric clinic. For most children and young people, hypertonia is just one aspect of a broader disorder of movement and posture. This paper describes a clinical approach to the management of hypertonia in children, considering the contribution of high tone to the functional problems experienced by the child, the potential adverse effects of reducing tone, side effects of the intervention and the importance of setting objectives/goals for intervention which can be measured at follow-up. We describe this as the ‘MOTOR’ approach and provide some examples of how it can be used in practice.