PEDIATRIC ORTHOPAEDICS
Cerebral Palsy: Similar muscle strength/spasticity with BoNT-A + strength training
Disabil Rehabil. 2013 Apr;35(7):596-605. doi: 10.3109/09638288.2012.711898. Epub 2012 Aug 28.15 children with cerebral palsy were randomized to a 10-week strength training program either pre- or post- a series of Botulinum Toxin Type-A (BoNT-A) injections to evaluate the effects of strength training with BoNT-A treatment on muscle strength. Eight of these children also underwent a 6-month control period, receiving BoNT-A injections only. Results at 6 months indicated that strength training with BoNT-A injections provided no difference in knee flexor strength, knee extensor strength, spasticity, or motor control. Between the pre- and post- groups, there was no difference in these outcomes in the hamstrings, plantarflexor and dorsiflexor muscles.
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