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BTX therapy also has adjunctive uses in the patient with cerebral palsy. These include:
- To improve the process and results of physical therapy and/or occupational therapy. For example, the gastrocnemius can be injected to improve toe-toe gait.
- To facilitate the fitting and role of orthoses. For example, it can be used if an ankle-foot orthosis is unable to control plantar flexion.
- To alter dynamic forces during serial splinting/casting procedures. For example, it may be used in conjunction with casting or may obviate the need to serially cast ankles to gain a braceable foot.
- To modify hyperactive muscles for timed orthopedic surgical interventions.
- To facilitate the identification of realistic goals of antispasticity interventions