Article

OBJECTIVE: To define a sub-set of functional goals and outcomes relevant to
children and families living with cerebral palsy following treatment with
botulinum toxin type A using the International Classification of Functioning,
Disability and Health for Children and Youth. We identified treatment
goals and treatment outcomes from medical case records in 2102 assessments of 239
children with cerebral palsy treated with botulinum toxin between 1994 and 2009.
Goals were set through assessment and discussion by experienced clinicians,
therapists, parents and children. RESULTS: There were 61 separate goals, mapping
to 40 categories, falling mostly within Body Functions: b710 Mobility of joint
functions (414 times); b770 Gait pattern functions (374 times); b7351 Tone of
muscles of one limb (117 times). A total of 93 separate treatment outcomes were
identified, mapping to 51 categories. Two of the 3 most common outcomes
correspond to the 2 most common goals (gait pattern and mobility of joint
functions). CONCLUSION: The International Classification of Functioning,
Disability and Health for Children and Youth provides a useful framework to
categorize the reasons for using botulinum toxin in children and focuses the
clinical consultation not only on impairments but also functional outcomes.

Langue : ANGLAIS