Botulinum Neurotoxin for Children With Cerebral Palsy: a Delicate Balance Between Clinical Benefits and Muscular Harm
A cross-sectional design study will be carried out to explore the morphological muscle properties and alterations in muscle composition on a macroscopic level in children with spastic cerebral palsy (CP). Muscle composition will be assessed using quantitative Magnetic Resonance Imaging (qMRI) and shear wave elastography (SWE), while macroscopic muscle size properties will be evaluated through 'Three-dimensional freehand ultrasound (3DfUS).
• Children (boys/girls) with congenital brain lesion, confirmed with neuro-imaging such as MRI
• At high-risk for CP or diagnosed spastic type of CP
• (Suspected) Gross Motor Function Classification Scale (GMFCS) Level I-III
• Uni or bilateral involvement
• Aged between 2-16 years
⁃ • Aged between 2-16 years