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Baclofen in community paediatric management of hypertonia
  1. Ram Kumar1,
  2. Binu George2
  1. 1Department of Neurology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
  2. 2Department of Paediatric Neurodisability, Great North Children's Hospital, Newcastle upon Tyne, UK
  1. Correspondence to Dr Ram Kumar, Department of Neurology, Alder Hey Children's NHS Foundation Trust, Eaton Road, West Derby, Liverpool L12 2AP, UK; ram.kumar{at}

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We wish to draw attention to the NICE guidelines for spasticity management in children, in particular, recommendations on oral baclofen prescribing.1 Despite its reported efficacy in reducing spastic tone in controlled studies, there is little information on the effectiveness, safety and quality of prescribing of baclofen in real-life practice.2 We noted that non-specialist (paediatric neurology, neurodisability) paediatricians express a lack of experience and knowledge in managing hypertonia with baclofen. The community paediatric setting is where children with hypertonia due to cerebral palsy, the predominant underlying condition, are routinely managed, as opposed to specialist tone management clinics, where controlled studies are typically performed. We conducted a baseline audit in a community paediatric setting of the use of oral baclofen to identify patterns of usage and opportunities for improvement.

The audit was a retrospective case note review in 2010 of children attending Warrington Child …

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  • Contributors RK was involved in the design of the study, final manuscript drafting, and is the overall guarantor of the content. BG was involved in study design, data collection, data analysis and drafting the manuscript.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.