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Models of care for hypertonia in childhood: a scoping review

Ramyia Elangovan1, Samantha Randall1, Miranda Loveday1

  • 1Evelina London Children's Healthcare, London, UK.

Archives of Disease in Childhood
|April 1, 2026
PubMed

Insights

A review of paediatric hypertonia care models found five key themes: patient-centered care, multidisciplinary teams, clear pathways, evidence-based medicine, and telemedicine integration. These themes can inform a unified UK model for managing children with hypertonia.

Area of Science:

  • Paediatric Neurology
  • Healthcare Management
  • Rehabilitation Medicine

Background:

  • Paediatric hypertonia is frequently seen in clinics, yet a unified model for coordinated care is absent.
  • Existing care approaches often focus on specific symptoms or interventions rather than a holistic strategy.

Purpose of the Study:

  • To review global models of care for paediatric hypertonia.
  • To identify unifying themes for developing a coordinated UK care delivery model.

Main Methods:

  • A scoping review was conducted following PRISMA-ScR guidelines.
  • Searches across Embase, CINAHL, and PubMed identified relevant literature on paediatric hypertonia care models.
  • Qualitative analysis of extracted data identified recurring themes.

Main Results:

  • Thirteen studies were analyzed, revealing five key themes: patient-centered care, multidisciplinary teamwork, clear patient pathways, evidence-based medicine, and telemedicine integration.
  • No studies described a comprehensive coordinated approach for all children with hypertonia.
  • Included studies detailed practices within specific hospitals or networks, not national standards.

Conclusions:

  • The identified themes provide a foundation for a unified paediatric hypertonia care model.
  • Optimal organization of primary, secondary, tertiary, and quaternary services is crucial for effective care delivery.
Abstract

Keywords:
NeurologyPaediatricsQualitative research

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