Membre supérieur de l'enfant atteint de paralysie cérébrale. Utilisation de la toxine botulinique : évaluation, stratégies thérapeutiques

Since a few years the botulinum toxin is used at the level of the upper limb of the child affected by cerebral palsy. A precise evaluation of the driving possibilities of the child is indispensable to target at best the muscles to be injected. This treatment, in its functional objective is always associated with an intensive reeducation. A protocol of follow-up accompanies the management.