P 063 - Quantifying the separate effects of Botulinum Toxin-A and lower leg casting on ankle joint hyper-resistance in children with cerebral palsy

Ankle joint hyper-resistance in children with cerebral palsy (CP) is commonly treated with Botulinum-Toxin-A (BoNT-A) injections to the medial gastrocnemius (MG) combined with a period of lower-leg casts. These are considered to, respectively, target the neural and non-neural components of hyper-resistance [1]. Recent research indicates that the degree to which neural components contribute to ankle joint hyper-resistance is highly variable among children with CP [2]. Therefore, children may benefit more from tailored treatment in which BoNT-A and casting are prescribed according to individually assessed causes of hyper-resistance.
Source: Gait and Posture - Category: Orthopaedics Authors: Tags: Short communication Source Type: research