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Treatment of the motor cerebral palsy child with botulinum toxin A: mode of action, injection places in management

, , , und . Arch Pediatr, 9 (9): 928--933 (September 2002)

Zusammenfassung

Many studies have demonstrated the effectiveness of botulinum toxin injections in order to decrease spasticity in cerebral palsy. However it is essential to carefully assess children to be treated, and the muscles which need to be injected. Injections of soleus in dynamic equinus without fixed contrature in very young children provide the best results, but other muscles may be injected such as upper limbs muscles. Injections have mainly a functional purpose, but sometimes they may contribute to prevent fixed contractures or pain during nursing.

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