The Movement Disorders Program at Riley Children’s Health brings together a multidisciplinary team of highly skilled experts from national ranked specialties including orthopedics, neurology, and neurosurgery to provide comprehensive care for patients with conditions that impact body movements. It is the only comprehensive movement disorders program in Indiana.
Movement disorders in children are common and lead to decreased functional ability. Movement disorders are caused by injuries to the brain, spinal cord, previous brain infections, genetic or metabolic conditions, medications, or inflammatory or autoimmune disorders.
Among the conditions we treat include:
- Dystonia and dyskinesias
- Mixed movement disorders (Cerebral palsy)
When you and your child come to our program, you meet with the entire team of providers at one appointment for comprehensive evaluation which may lead to a surgical procedure. This patient-centric model means that you don't have to go to multiple appointments at multiple locations to see specialists for a treatment plan. Instead, this one appointment allows you to meet with everyone on the team at the same time to make a plan for your child's care.
Our highly skilled team in the Movement Disorders Program includes pediatric specialists in the following specialties:
- Physical Medicine & Rehabilitation
- Physical Therapy
- Orthopedic Surgery
You'll also have a program coordinator who will work with you to arrange your appointment and answer any questions you might have.
Depending on your child’s condition and needs, the Movement Disorders team may recommend a variety of treatment options for your child’s care.
Intrathecal Baclofen Pump
Baclofen pumps allow medicine to be dispensed directly into spinal fluid at scheduled times throughout the day. Baclofen is a specialized medicine meant to relax muscles and relieve spasms and muscle cramping.
The pump is installed through a short surgical procedure. The pump is implanted into the torso and connected to the spine via a small tube. The device then stores and delivers baclofen as a targeted therapy directly to the spinal cord.
Deep Brain Stimulation
In deep brain stimulation (DBS), our neurosurgeons place electrodes deep in the brain. The electrodes are connected to a pacemaker-like device implanted under the skin near the collarbone.
The device sends regular electrical impulses to the target areas of the brain to correct excessive or misguided signals in the brain.
Selective Dorsal Rhizotomy (SDR)
For some patients with cerebral palsy, selective dorsal rhizotomy (SDR) is a surgical treatment that helps reduce spasticity and increases overall functional ability for patients. The treatment involves sectioning (cutting) problematic nerve roots in the spine to improve muscle symptoms.
Non-selective Dorsal Rhizotomy
As an alternative to intrathecal baclofen therapy for patients who require total care, a non-selective dorsal rhizotomy can be performed. The goal of this surgery is to decrease the amount of spasticity causing pain, difficulty with hygiene, or difficulty positioning in assistive devices (e.g. wheelchair positioning). This treatment involves a permanent surgical procedure to decrease the abnormal tone in the legs.
Conditions & Services
We offer a number of different Movement Disorders Program services. Below are some, but not all, of the services that we provide. If you have a question about a specific service that is not listed here, please contact our program.
We provide multispecialty care for a number of conditions. Below are links to our related departments.
For Health Professionals
Refer a Patient
Our Movement Disorders Program’s multidisciplinary team of physicians is actively involved in research related to pediatric conditions that impact body movement.