Patient's question:
At the age of ten months, was diagnosed, and my child has high muscle tone in both lower limbs. He has been undergoing rehabilitation training ever since. From being unable to roll over, sit up, or crawl, he learned to do these things by the time he was one year old. After that, he kept practicing standing, but so far, there seems to be little progress. He still cannot stand alone. The physical therapist who provides rehabilitation for him says that his high muscle tone mainly limits many of his abilities. I heard that botulinum toxin can reduce muscle tone. Is it safe for my child to receive this treatment?Doctor's answer:
The treatment options for cerebral palsy include surgical intervention. Orthopedic surgery may be chosen when there is severe muscle contracture and joint deformity, and it is advisable to correct all necessary areas in a single surgery to better improve function postoperatively. For children with widespread spasticity in the lower limbs but relatively normal muscle strength, selective dorsal rhizotomy can be considered. Regardless of the type of surgery, a standardized rehabilitation program should be implemented before and after the procedure to complement it.