As the Medical Director of the Neuromotor Program at Sunny Hill Health Centre here at BC Children’s Hospital, Dr. Mishaal’s main clinical research interests involve neuromotor rehabilitation and cerebral palsy for children and youth. He currently leads the CP Early Diagnosis Initiative, is the BC site investigator for the Canadian Cerebral Palsy Registry, and is a co-investigator for CP-related projects with Child Health BC.


Stability 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

Oxytocin 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

Appraising 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

Oxytocin 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

Baclofen 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

Age 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

Is 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

Renal 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.


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.

Research Group Members

Mia Francl, Clinical Fellow, Department of Pediatrics
Chetna Jetha, Occupational Therapist
Carol Lai, Project Manager, Neuromotor
Vivian Wong, Research Coordinator