Wednesday, August 17, 2016

Does early botox in the arm have LONG LASTING effects on the brain and motor learning? Maybe.

Was injecting botox today (under sedation) to kids so its on my mind.....

In the 13 years of practice, I have observed  motor learning and even language to rapidly  improve if I treat spasticity early. Other illnesses show that cortical reorganization changes with improved use of a limb.  I recognize that it takes a team, yet  I was not surprised to see kids "take off".  JR

 2015 Jun;18(3):145-8. doi: 10.3109/17518423.2013.796018. Epub 2013 Jul 19.

Quantification of long-term effects of botulinum injection in a case of cerebral palsy affecting the upper limb movement.



The aim of this work was to put into evidence the long-lasting modification induced by botulinum toxin injection and rehabilitative treatment on motor control.


In this contribution, we report the case of a female child showing hemiplegia, due to cerebral palsy. She underwent botulinum injection, followed by physical and occupational therapy. We quantified the biomechanical, cerebral and occupational aspects of her impaired upper limb, also dynamically, with respect to her pre- and post-treatment condition.


Small long-lasting improvements--induced on biomechanics by botulinum injection--triggered wide cerebral modification, well reflected in improved contextual movements and motor strategy.


These results provide evidences that small modifications in the end-effector performance often imply cerebral modifications and improvement in finalized motor strategy.


Botulinum injection; EEG analysis; cerebral palsy; movement analysis; upper limb

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