A Pilot Study of Delayed Versus Immediate Serial Casting After Botulinum Toxin Injection for Partially Reducible Spastic Equinus

Abstract

There is a clear benefit in delaying serial casting after the injection of botulinum toxin in the recurrence of spasticity at the gastrosoleus that may also offer an advantage regarding the incidence of painful episodes associated with casting. Most importantly, reducing the recurrence of spasticity by delayed serial casting may offer the possibility of decreasing the frequency of botulinum toxin reinjections.