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Updated: Oct 17, 2025

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Published on: November 9, 2016
Pros and cons of botulinum toxin injection therapy in cerebral palsy: A qualitative study exploring caregivers'
Evrim Karadag-Saygi1, Özge Kenis-Coskun1, Pemra C Unalan2
1Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey.
Background:
To describe and understand the experiences and beliefs of caregivers of children with cerebral palsy following botulinum toxin injection.
Methods:
A descriptive case study approach with focus group interviews was employed. A semi-structured questionnaire was conducted to collect data. Twenty-one caregivers of children (3-13 years old) with cerebral palsy were recruited with a maximum variation sampling strategy to gain insight through different perspectives. Qualitative analysis with verbatim transcripts was analysed using a thematic approach.
Findings:
Four themes emerged from qualitative analyses: acceptance of diagnosis, perceptions about treatment, caregivers' experiences with the health environment, and feelings and thoughts after the treatment.
Conclusions:
This study highlights caregivers' requests for information about the possible long-term effect of botulinum toxin, as well as information and support to provide the best rehabilitation programme immediately after injection.
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