The updated European Consensus 2009 on the use of Botulinum toxin for children with cerebral palsy
Florian Heinen, Kaat Desloovere, A Sebastian Schroeder, Steffen Berweck, Ingo Borggraefe, Anya van Campenhout, Guro L Andersen, Resa Aydin, Jules G Becher, Günther Bernert, Ignacio Martinez Caballero, Lucinda Carr, Emmanuelle Chaleat Valayer, Maria Teresa Desiato, Charlie Fairhurst, Paul Filipetti, Ralph-Ingo Hassink, Ulf Hustedt, Marek Jozwiak, Serdar Ibrahim Kocer, Elisabeth Kolanowski, Ingeborg Krägeloh-Mann, Sehim Kutlay, Helena Mäenpää, Volker Mall, Paul McArthur, Edith Morel, Antigone Papavassiliou, Ignacio Pascual-Pascual, Søren Anker Pedersen, Frank S Plasschaert, Irene van der Ploeg, Olivier Remy-Neris, Anne Renders, Guiseppe Di Rosa, Maja Steinlin, Kristina Tedroff, Joan Vidal Valls, Elke Viehweger, Guy Molenaers, Florian Heinen, Kaat Desloovere, A Sebastian Schroeder, Steffen Berweck, Ingo Borggraefe, Anya van Campenhout, Guro L Andersen, Resa Aydin, Jules G Becher, Günther Bernert, Ignacio Martinez Caballero, Lucinda Carr, Emmanuelle Chaleat Valayer, Maria Teresa Desiato, Charlie Fairhurst, Paul Filipetti, Ralph-Ingo Hassink, Ulf Hustedt, Marek Jozwiak, Serdar Ibrahim Kocer, Elisabeth Kolanowski, Ingeborg Krägeloh-Mann, Sehim Kutlay, Helena Mäenpää, Volker Mall, Paul McArthur, Edith Morel, Antigone Papavassiliou, Ignacio Pascual-Pascual, Søren Anker Pedersen, Frank S Plasschaert, Irene van der Ploeg, Olivier Remy-Neris, Anne Renders, Guiseppe Di Rosa, Maja Steinlin, Kristina Tedroff, Joan Vidal Valls, Elke Viehweger, Guy Molenaers
Abstract
An interdisciplinary European group of clinical experts in the field of movement disorders and experienced Botulinum toxin users has updated the consensus for the use of Botulinum toxin in the treatment of children with cerebral palsy (CP). A problem-orientated approach was used focussing on both published and practice-based evidence. In part I of the consensus the authors have tabulated the supporting evidence to produce a concise but comprehensive information base, pooling data and experience from 36 institutions in 9 European countries which involves more than 10,000 patients and over 45,000 treatment sessions during a period of more than 280 treatment years. In part II of the consensus the Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System (GMFCS) based Motor Development Curves have been expanded to provide a graphical framework on how to treat the motor disorders in children with CP. This graph is named "CP(Graph) Treatment Modalities - Gross Motor Function" and is intended to facilitate communication between parents, therapists and medical doctors concerning (1) achievable motor function, (2) realistic goal-setting and (3) treatment perspectives for children with CP. The updated European consensus 2009 summarises the current understanding regarding an integrated, multidisciplinary treatment approach using Botulinum toxin for the treatment of children with CP.
Copyright 2009 European Paediatric Neurology Society. All rights reserved.
Source: PubMed