- Overview
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As the Senior Medical Director of Child Development and Rehabilitation at BC Children’s Hospital (BCCH)/ Sunny Hill Health Centre , and the Medical Director of the Neuromotor Program , Dr. Mishaal’s main clinical research interests involve neuromotor rehabilitation and cerebral palsy for children and youth. He leads the CP Early Diagnosis Initiative, including the provincial Early Motor Screening Program and the CP Early Diagnosis Clinic, he is the BC site investigator for the Canadian Cerebral Palsy Registry, and is an investigator on multiple CP, rehabilitation and child development projects. He has also been the founder and lead of the Specialized Pediatric Rehabilitation OUTpatient (SPROUT) program at BCCH.
- Publications
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A new care pathway for the diagnosis of cerebral palsy among community pediatricians
Paediatrics & Child Health
Olivia Scoten and Vivian Wong and Mor Cohen-Eilig and Ram A Mishaal
DOI: 10.1093/pch/pxae108
04/2025Trying to be an Early BIRD: An exploration of factors impacting British Columbia’s intervention referral and diagnosis of cerebral palsy
Paediatrics & Child Health
Taylor McIntosh and Vivian Wong and Akshdeep Sandhu and Mor Cohen-Eilig and Ram Mishaal
DOI: 10.1093/pch/pxae076
11/2024Stability of the Gross Motor Function Classification System over time in children with cerebral palsy
Developmental Medicine & Child Neurology
Menal Huroy and Tarannum Behlim and John Andersen and David Buckley and Darcy Fehlings and Adam Kirton and Nicole Pigeon and Ram A. Mishaal and Ellen Wood and Michael Shevell and Maryam Oskoui
DOI: 10.1111/dmcn.15375
08/2022Appraising the need for audiological assessment before autism spectrum disorder referral
Paediatrics and Child Health (Canada)
Mishaal, R.A. and Weikum, W.M. and Brooks, B. and Derry, K. and Lanphear, N.E.
DOI: 10.1093/pch/pxab097
2022Oxytocin for the treatment of autism spectrum disorder in children,Ocytocine pour le traitement du trouble du spectre de l'autisme chez les enfants
Canadian Family Physician
Griffiths, J.L. and Mishaal, R.A. and Nabetani, M. and Goldman, R.D.
DOI: 10.46747/cfp.6802106
2022Oxytocin for the treatment of autism spectrum disorder in children
Canadian Family Physician
Griffiths, J.L. and Mishaal, R.A. and Nabetani, M. and Goldman, R.D.
DOI: 10.46747/cfp.6802103
2022Baclofen Toxicity in Children With Acute Kidney Injury: Case Reports and Review of the Literature
Child Neurology Open
Ram A. Mishaal and Nancy E. Lanphear and Erez Armarnik and Esias R. van Rensburg and Douglas G. Matsell
DOI: 10.1177/2329048X20937113
01/2020Age of autism spectrum disorder diagnosis is associated with child's variables and parental experience
Research in Autism Spectrum Disorders
Mishaal, R.A. and Ben-Itzchak, E. and Zachor, D.A.
DOI: 10.1016/j.rasd.2014.04.001
2014Is there clinical benefit to routine enzyme testing of patients on statins?
Expert Opinion on Drug Safety
Elhayany, A. and Mishaal, R.A. and Vinker, S.
DOI: 10.1517/14740338.2012.630659
2012Renal failure and low molecular weight heparins. A dangerous liaison? The case of retroperitoneal hematoma
Israel Medical Association Journal
Szyper Kravitz, M. and Mishaal, R.A. and Shoenfeld, Y.
2005 - Research
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Canadian Cerebral Palsy Registry
The national Canadian Cerebral Palsy (CP) Registry is a nation-wide collection of medical and social information about children with cerebral palsy. BC Children’s Hospital is the partner representing the province of BC where Dr. Mishaal has been the primary site investigator since July 2020. His team is currently undertaking an analysis using data from the Registry with the hopes of creating a general profile of BC children and youth diagnosed with CP, and exploring how different medical and environmental factors impact the age of diagnosis and the age of referral for interventions.Understanding the Etiology of Cerebral Palsy and the Influence of Genetic Etiology on Hip Displacement
A project in collaboration with Child Health BC to explore the etiologies of cerebral palsy in the hip surveillance registry population. Data analysis stage. Co-investigator since Aug 2021.Estimating Prevalence and Incidence of Cerebral Palsy (CP) in Children and Youth in BC
In collaboration with Child Health BC, this study uses multiple, linked, health administrative databases and predictive modelling to estimate the prevalence and incidence of CP in children and youth in BC. These estimates will inform recruitment into the Hip Surveillance Clinical Program, and select indicators will be collected for ongoing population-level surveillance.BCI- Brain Computer Integration Study
As part of the Canadian BCI group (Led by Dr. Adam Kirton, University of Calgary). The technology has been used in 3 sites in Canada and currently we are working on doing a pilot in 3 other sites.Evaluating the Early Motor Screening Program (EMSP)
Data analysis of outcomes, correlation between age of diagnosis, risk factors and socio-demographic factors, and analysis of the potential environmental and economic benefits of doing remote assessments (virtual)Baclofen - Pilot (Non-Randomized) Trial
Using an intervention and control group, to provide evidence regarding the safety and effectiveness of increasing Baclofen dose prior to Orthopedic surgery.Experiences of Parents and Caregivers with the Remote General Movement Assessment for Early Cerebral Palsy Diagnosis.
Virtual CIMT Study
Development of virtual reality functional Constraint Induced Movement Therapy (CIMT) module and neuro/biofeedback based treatment for hemiparesis in cerebral palsy. Partnered with Tel-Aviv Medical Centre, Tel-Aviv University, Israel.Research Group MembersMia Francl, Clinical Fellow, Department of Pediatrics
Olivia Ireland, FLEX program medical student
Michael Li, BCCHER medical student
Naama Rozen, ARU&NMP Research Manager
Arshdeep Waring, FLEX program medical student
Vivian Wong, Research Coordinator
Congratulations CIHR Fall 2024 Project Grant recipients
Congratulations to the investigators and their teams who were awarded funding through the Canadian Institutes of Health Research (CIHR) Fall 2024 Project Grant competition!
