CP – botox for equinus — RACP Paediatrics MCQ

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EasyNeurologyCP – botox for equinusRACP Paediatrics

A 5-year-old with spastic diplegic CP (GMFCS III) has dynamic equinus despite AFOs. What is the most appropriate focal spasticity treatment?

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Correct answer: E — Botulinum toxin injection

Botulinum toxin A into gastrocnemius-soleus is first-line focal spasticity treatment. Provides 3-6 months relaxation. Combine with stretching, physio, orthotics.

Reference: RCH Melbourne – 2023 – CP CPG