Abstract
Introduction It has been postulated that botulinum toxin A injections into spastic muscles of children with cerebral palsy weakens the muscle allowing it to be stretched, facilitating longitudinal muscle growth, or prevention or delaying of progressive muscle shortening. There is minimal evidence that utilization of botulinum toxin A facilitates longitudinal muscle growth in children with cerebral palsy. The purpose of this study was to determine whether botulinum toxin A, botulinum toxin A /casting or casting alone increase the gastrocnemius or soleus muscle length in children with cerebral palsy.
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