Physiotherapy assessment and treatment for an ambulant child with cerebral palsy after botox A to the lower limbs: a case report

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
Hilda Mulligan, Erin Wilmshurst

Abstract

Botulinum toxin A is a relatively new, noninvasive treatment option for children with cerebral palsy, providing an effective, short-term intervention to reduce spasticity. It is used as an adjunct to other management including physiotherapy. The purpose of this case report is to evaluate assessment and management by physiotherapy following Botox injections to hamstring and gastrocnemius muscles. Examination of function and impairment for a 3.5-year-old child with spastic diplegia included the Gross Motor Function Measure, Goal Attainment Scaling, the Physician Rating Scale of gait, dynamic and passive range of movement, and selective motor control. Physiotherapy intervention was play based and occurred at home, at a preschool, and in the therapist's usual clinic setting, twice a week for the first five weeks, then once a week for another five weeks. Intervention consisted of whole and part practice of functional skills using closed and open chain exercises through the full available muscle range. The child showed increased ability in function; however, impairment level results were inconsistent and may not be effective at discerning change in a clinical setting. An increased level of physiotherapy was easily implemented by freq...Continue Reading

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References

Jun 1, 1992·Physical Therapy·R J PalisanoD A Brown
Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Jun 1, 1989·Developmental Medicine and Child Neurology·D J RussellS Jarvis
Oct 1, 1988·Developmental Medicine and Child Neurology·W A StubergJ A Miedaner
Jun 1, 1995·Nature Medicine·B J Culliton
Apr 1, 1997·Developmental Medicine and Child Neurology·R PalisanoB Galuppi
Aug 18, 2001·Developmental Medicine and Child Neurology·M Goldstein, D C Harper
Oct 21, 2006·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·H M DumasM A Fragala
Oct 21, 2006·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Maria A FragalaHelene M Dumas
Oct 24, 2006·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Margaret E O'NeilHelene M Dumas

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Citations

Nov 17, 2006·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Alper I Dai
Jul 16, 2010·Developmental Neurorehabilitation·Dirk-Wouter SmitsJan Willem Gorter
Jun 27, 2007·Developmental Medicine and Child Neurology·Duco SteenbeekJan Willem Gorter
Feb 22, 2017·Surgical Neurology International·Arif Abdulbaki, Imad Kanaan
Sep 14, 2007·Disability and Rehabilitation·Jenny WickfordSusanne Rosberg
Sep 18, 2018·Developmental Medicine and Child Neurology·Patrick G McpheeJan Willem Gorter

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