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

P Carrelet; G Bollini; J Mancini; B Chabrol

doi:10.1016/s0929-693x(02)00039-8

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

Arch Pediatr. 2002 Sep;9(9):928-33. doi: 10.1016/s0929-693x(02)00039-8.

[Article in French]

Authors

P Carrelet¹, G Bollini, J Mancini, B Chabrol

Affiliation

¹ Service de neurologie pédiatrique, Hôpital d'enfants de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France. [email protected]

PMID: 12387176
DOI: 10.1016/s0929-693x(02)00039-8

Abstract

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.

Publication types

English Abstract
Review

MeSH terms

Activities of Daily Living
Botulinum Toxins, Type A / pharmacology
Botulinum Toxins, Type A / therapeutic use*
Cerebral Palsy / classification
Cerebral Palsy / diagnosis
Cerebral Palsy / drug therapy*
Cerebral Palsy / physiopathology
Child
Gait
Humans
Injections, Intramuscular / methods
Muscle Contraction / drug effects
Muscle Spasticity
Neuromuscular Agents / pharmacology
Neuromuscular Agents / therapeutic use*
Range of Motion, Articular
Severity of Illness Index
Treatment Outcome

Substances

Neuromuscular Agents
Botulinum Toxins, Type A