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Updated: May 29, 2026

Repeated Transcranial Magnetic Stimulation Combined with Action Observation Training in Children with Spastic Cerebral Palsy
Published on: August 9, 2024
Use of botulinum toxin A in management of children with cerebral palsy
Bat-Chen Friedman1, Ran D Goldman
1BC Children's Hospital, Department of Pediatrics, Vancouver, BC V6H 3V4, Canada.
Question:
What is the role of intramuscular botulinum toxin injections in the management of spasticity and related morbidity in children with cerebral palsy?
Answer:
When botulinum toxin A is injected into the limbs of children with spastic paresis, it induces temporary reduction in muscle tone. It also promotes better motor function when used in combination with conservative treatments such as physiotherapy. Although there is a growing body of evidence for its effective and safe treatment, there is still a lack of consensus on dose, treatment regimens, and the best integration with other clinical modalities.
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