Pediatric neurorehabilitation
First what works. Then what is being sold.
Families of children with cerebral palsy, autism, brain injury or genetic epilepsy are offered a great deal: early intervention and therapy on one side, stem cells, exosomes, peptides and stimulation on the other — frequently abroad, frequently at considerable cost.
This site puts them in order of evidence rather than in order of novelty. It starts with the interventions that clinical guidelines actually recommend, and only then turns to the ones still being investigated — with the honest state of each set out plainly.
The one question
“Established for what, in whom, on whose evidence?”
A licence or a guideline recommendation is always for a named condition and age group. Cord blood is an approved medicine — for blood disorders. Magnetic stimulation is cleared for depression in older adolescents in some countries. Neither fact says anything about cerebral palsy or autism.
See the evidence table →Layer one
Established care
Guideline-recommended, trial-supported, and for most children the things that will actually change their day. If these are not fully in place, they are where the next decision belongs.
Early detection and early intervention
The single highest-value thing in this whole field, and the one least often discussed in clinics selling treatment. Cerebral palsy can be identified in the first months of life, and that is when therapy does the most.
Established careGoal-directed, task-specific training
Not a brand of therapy but the principle underneath the ones that work: the child practises the actual task they are trying to learn, with enough repetition to matter.
Established careConstraint-induced therapy and bimanual training
For a child who uses one hand much more than the other, these are among the best-evidenced interventions in paediatric neurology — and both work, for different things.
Established carePhysiotherapy and strength training
Well supported when it is built around function and genuinely loaded — much weaker when it is passive stretching and generic exercise.
Established careOccupational therapy
The discipline that works on what the child actually does all day — dressing, eating, writing, playing, getting through a school morning.
Established careSpeech, language and communication
For a child who cannot speak clearly, giving them a way to communicate is among the most consequential interventions available — and the fear that it will stop them talking is unfounded.
Established careSpasticity and tone management
Medical and surgical treatment of tone, which works best when it is tied to a functional goal rather than to a number on a tone scale.
In clinical trialsTechnology-assisted rehabilitation
Useful mainly as a way of delivering more practice, not as a treatment in its own right — and that distinction decides whether it is worth the money.
Layer two
Emerging and experimental
Stem cells, exosomes, Muse cells, peptide preparations, light therapy and magnetic stimulation. Some of this is serious science in progress. Some of it is a confident brochure. None of it is established care in children.
Stem cell therapy
Several different products share this name. Some are licensed medicines for blood disorders; none is a licensed treatment for cerebral palsy or autism anywhere in the world.
Early research onlyExosomes
The cell-free next step after stem cells, with genuinely interesting laboratory science — and, in children, almost no controlled clinical evidence at all.
Early research onlyMuse cells
A distinct cell type with an unusual property — it appears to home to damaged tissue on its own — and an unusually small amount of clinical evidence, almost none of it in children.
Early research onlyPhotobiomodulation
Non-invasive, painless and inexpensive compared with cell therapies — with small, mostly short studies behind it and a wide gap between what is claimed and what has been shown.
In clinical trialsMagnetic stimulation
The most clinically established technique on this site — genuinely approved for some uses in older adolescents, and still investigational for most of what it is offered for in children.
Early research onlyPeptide preparations
Two quite different things share this word: prescription neuropeptide preparations used routinely in some countries, and an unregulated wellness trade. Neither has good evidence in children.
What this site will not do
It will not tell you the emerging treatments are worthless. Several are under genuine investigation by serious groups, and some may one day become standard care.
It also will not tell you they work. Where the honest answer is nobody knows yet, that is what you will read — because a family deciding whether to spend savings and hope on an infusion deserves the real state of the evidence, not the version that closes a sale.
By condition →
Cerebral palsy, autism, newborn brain injury, genetic epilepsies — what is being tried for each, and whether the reasoning holds.
Safety and what to expect →
The risks that actually matter per treatment, and how to measure whether anything changed.
Judging a therapy →
Trial phases, eight warning signs, and what a serious centre does differently.