Related Experiment Video
Updated: May 21, 2026

Ultrasound-guided Botulinum Toxin-A Injections: A Method of Treating Sialorrhea
Published on: November 9, 2016
[The prevention of pain during botulinum toxin injections in children]
Blandine Gosset1, Emilie Dufour, Marie-Véronique Jonas
1Centre MPR L'Adapt, Cambrai. gosset.blandine@ladapt.net
Insights
Botulinum toxin injections help reduce spasticity in children with cerebral palsy. Play-based nurse consultations build trust, easing treatment anxiety and improving outcomes for pediatric patients.
Area of Science:
- Neurology
- Pediatrics
- Rehabilitation Medicine
Context:
- Cerebral palsy (CP) spasticity management in children.
- French health product safety agency (AFSSAPS) recommendations (2009) support botulinum toxin use.
- Child apprehension can exacerbate pain during treatment sessions.
Purpose:
- To describe a play-based nurse consultation program designed to alleviate child apprehension before botulinum toxin injections for cerebral palsy spasticity.
- To foster trust between the child and healthcare providers.
Summary:
- A nurse consultation program utilizing play-based methods has been implemented since 2008.
- This initiative aims to prepare children for botulinum toxin injection sessions.
- The program is situated within a physical medicine and rehabilitation center.
Impact:
- Potential to reduce treatment-related pain and anxiety in pediatric CP patients.
- Enhances patient cooperation and therapeutic alliance.
- Improves the overall experience of children undergoing spasticity treatment.
Abstract:
According to the recommendations of the French health products safety agency (AFSSAPS) in 2009, botulinum toxin injections are recommended to reduce spasticity in children with cerebral palsy. Apprehension of the session can increase the pain. Therefore, programmes have been put in place which help to win over the child and gain their trust. Since 2008 a nurse consultation which informs the child through play has been set up in the centre for physical medicine and rehabilitation of the Association for the social and professional integration of disabled people.
Related Concept Videos
Directly Acting Muscle Relaxants: Dantrolene and Botulinum Toxin
The binding of dantrolene to the RYR1...
Skeletal Muscle Relaxants: Therapeutic Uses
Prevention of Further Absorption of Poison
Depolarizing Blockers: Pharmocokinetics
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
Local Anesthetics: Clinical Application as Spinal Anesthesia
