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Title: Botulinum toxin type A treatment in children with cerebral palsy: evaluation of treatment success or failure by means of goal attainment scaling
Authors: Desloovere, Kaat ×
Schörkhuber, Verena
Fagard, Katrien
Van Campenhout, Anja
De Cat, Josse
Pauwels, Petra
Ortibus, Els
De Cock, Paul
Molenaers, Guy #
Issue Date: May-2012
Publisher: Saunders
Series Title: European Journal of Paediatric Neurology vol:16 issue:3 pages:229-236
Abstract: BACKGROUND: There is considerable variability in the amount of response to BTX-A treatment between and within patients with cerebral palsy (CP). AIMS: The purpose of this retrospective cohort study was to evaluate the clinical responsiveness of Botulinum toxin type A (BTX-A) treatment in children with CP and specifically delineate features of treatment success and failure. METHODS: Four hundred and thirty-eight children (251 boys, 187 girls; mean age 8 years 2 months, SD 4 years) were included into the study. Goal Attainment Scaling (GAS) was used to classify and evaluate treatment efficacy. Two study groups were defined: one group with an excellent response (GAS≥60.0) and one group with a lack of response (GAS≤40.0) to BTX-A. RESULTS: Seventy-five patients (17.1%) had an excellent response and treatment was found to be unsuccessful for 31 patients (7.1%). Children with a lack of response to BTX-A were significantly older compared to children with a high responsiveness (p=0.0013). In the latter group, more children received multi-level injections and fewer children had injections in proximal parts of the lower limb compared to the low responsiveness group (p=0.0024). Moreover, there was a significant difference in the use of different types of casts between both study groups (p=0.0263). CONCLUSION: Age, level of treatment and casting seem to be crucial features of BTX-A treatment success or failure in children with CP.
URI: 
ISSN: 1090-3798
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Section Child - Miscellaneous (-)
Research Group for Neuromotor Rehabilitation
Orthopaedics Section (-)
Physical Medicine and Revalidation Section (-)
Brain & Metabolism Section (-)
Biomechanics, -implants and Tissue Engineering (-)
Youth Health (-)
× corresponding author
# (joint) last author

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