Episode Details

Cerebral Palsy: Subtypes, the Tone-Management Ladder, Gait, and Hip Surveillance. Part of the Pediatric Rehabilitation series of the Reflex PM&R Board Review podcast. Audio correction: In the audio: Peak effect is at two to six weeks and the clinical duration is three to six months — Correct: Peak effect is at ~3 WEEKS and duration is 3-4 months, not two to six weeks / three to six months. Botulinum toxin for focal spasticity follows the rule of threes: onset ~3 days (24-72 hours), PEAK EFFECT ~3 WEEKS, duration ~3 months (3-4 months), with re-injection no sooner than every 3 months (12 weeks). The audio's onset (24 to 72 hours) and the minimum three-month re-injection interval are correct as stated. The written chapter is correct. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/PEDS-02-b.