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. 2019 Oct 8;2019(10):CD001408. doi: 10.1002/14651858.CD001408.pub2

TCTR20150803003.

Trial name or title Public title: Efficacy of botulinum toxin in pediatric spasticity: a randomized trial comparing 2‐ to 4‐sites hamstring injection
Scientific title: Efficacy of botulinum toxin in pediatric spasticity: a randomized trial comparing 2‐ to 4‐sites hamstring injection
Methods RCT
Participants Sample: children with CP and lower limb spasticity
Target sample size: 80
Inclusion criteria:
  • Either sex

  • Aged 2 to 7 years

  • Children with CP with spasticity Modified Ashworth Scale Bohannon (MAS B) score 1, 2, and 3 in hamstring muscles


Exclusion criteria:
  • Prior surgery or accident in lower extremity muscles

  • Injected with BoNT‐A in the 6 months before joining the study

  • Allergic to the components of BoNT‐A

  • Have a neuromuscular disease such as myasthenia gravis and Lambert‐Eaton syndrome or on medication that affects the use of BoNT‐A

  • Have an easily bleeding tendency disease or on anti‐blood‐clotting medication

  • Healthy volunteer

Interventions BoNT‐A injections into the hamstrings (2 groups with different injection methods, using either 2 or 4 points) versus control with standard treatment
Outcomes Range of motion, spasticity, gait, motor function, quality of life, satisfaction
Starting date 7 August 2015
Contact information Chuenchom Chueluecha (email: puaichuenchom@hotmail.com)
Notes Comment: none
Status: recruiting
Date completed: not reported
Last updated: 16 November 2015
Sponsor: Thammasat University

BoNT‐A: botulinum toxin type A; CP: cerebral palsy; GMFCS: Gross Motor Function Classification System; RCT: randomised controlled trial.