Niagara Children’s Centre’s physical medicine and rehabilitation/physiatry clinic provides diagnostics and consultation to families and clinicians as well as intervention related to spasticity management. This intervention may include prescription and injection of Botox and/or prescription and monitoring of other spasticity management medications.
Referrals are accepted for children and youth with chronic or acute neuromusculoskeletal disorders and disabilities, and for children and youth who have developmental disorders that include a physical component such as delayed or atypical motor skills. Regular follow-up visits are provided as well as transition to adult physical medicine and rehabilitation for specific conditions.
Referrals must be made by primary care providers (with billing number, prior assessment results, and reason for consultation indicated; visit our referrals page) in one of the following pathways:
- Referrals can be initiated by the child’s physiotherapist or occupational therapist who will request that the child’s primary care provider make the referral
- If the child is not currently involved with a Centre physiotherapist or occupational therapist and the referral is initiated from a primary care provider:
- The child will be admitted to physiotherapy or occupational therapy if eligible for screening and then admitted to the physiatry clinic if he/she becomes a Centre client, OR
- If the child has known physical needs due to past history with Centre, the child may be admitted without screening