Among children receiving upper-limb botulinum neurotoxin A (BoNT-A), 45% had their first treatment before the age of 4 years.
Thumb and forearm muscles were the most treated with BoNT-A, finger flexor muscles the least.
Full passive range of motion with tightness was related to first upper-limb BoNT-A treatment.
Botulinum neurotoxin A is widely used in children with cerebral palsy (CP) to reduce spasticity, enhance passive range of motion (pROM) and body function. This population-based study describes and investigates whether CP-subtype, MACS level, pROM, and age may be related to a first upper-limb BoNT-A treatment in a sample of children with CP.
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