Orthopaedic applications of Botulinum Toxin

Aim Example
Alter motor function by improving the balance between agonist and antagonist forces Improve equinus gait in cerebral palsy
 Improve arm function following a cerebrovascular accident
 Bladder control in spinal injury
Prevention of deformity Acetabular dysplasia in cerebral palsy
 Glenoid dysplasia in obstetric brachial plexus palsy
 Equinus contracture post-head injury
Decrease ‘spasticity’-related pain Post-operatively
 Multiple sclerosis
 Myofascial pain syndromes
 Cerebral palsy
Improve quality of life Of the patient
 Of the carer
Enhance self-esteem Prevention of involuntary movements
 Management of athetoid cerebral palsy
Pre-surgical diagnostic tool Predicting the effect of release of tendo Achillis
 Improvement of hand function in cerebral palsy
Protection of soft-tissue repair Flexor tendon repairs in children
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