Sometime early age kids affected with spastic cerebral palsy don’t show much improvement even with good quality of cerebral palsy therapy. It happen because of persistent moderate to severe spasticity in a few groups of muscle. Then they need botulinum toxin. Botulinum toxin helps a lot in getting control over spasticity and its effect lasts for only 3-4 months. Effect can be prolonged with the good physiotherapy technique and judicious use of a brace. Now days, few literature has shown muscle weakness with repeated use of botulinum toxin so we now rarely use it. Now days in most of cases we use plaster. Still in some case we need it.
Authors
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MS Ortho (PGI Chandigarh) & DNB Ortho, Senior Paediatric Orthopaedic Surgeon, Chairman of Trishla Foundation, India Experience of 20 years in children with orthopaedic problems, cerebral palsy & congenital limb deficiency. Manage more than 1 Lac children with Cerebral Palsy & orthopaedic problem. Member of different Government & non-government organizations. Cerebral palsy children from every state of India & 20 countries are visiting him for expert opinions.
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MBBS, MD (Community Medicine), PhD Public Health Secretary, Trishla Foundation, 15 years experience in counselling & guidance to parents of children with cerebral palsy
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