Botulinum toxin for the treatment of spasticity in children: Attainment of treatment goals

Daniel M. Weigl, Nili Arbel, Kalman Katz, Tali Becker, Elhanan Bar-On

Research output: Contribution to journalArticlepeer-review

Abstract

Forty patients (mean age 5 years) with a spastic disorder treated by botulinum injections (53 sessions) were evaluated for functional outcome in terms of achievement of their individual predetermined goals of treatment, rated on a modified Goal Attainment Scale from 1 (worsening function) to 4 (improved gross motor function). At the 2-week follow-up, 40% had a score of 1, 33% a score of 2, and 13% a score of 3; 12% showed no functional change. Botulinum treatments failed to significantly improve the gross motor function in this patient group. Treatment goals and expectations should clearly be established beforehand.

Original languageEnglish
Pages (from-to)293-296
Number of pages4
JournalJournal of Pediatric Orthopaedics Part B
Volume16
Issue number4
DOIs
StatePublished - Jul 2007
Externally publishedYes

Keywords

  • Botulinum toxin
  • Cerebral palsy
  • Goal Attainment Scale

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