Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak

Abstract: Spasticity is the most common motor disturbance in cerebral palsy (CP). Lockdown in the COVID-19 outbreak has profoundly changed daily routines, and similarly caused the suspension of spasticity treatment plans. Besides, the delay in botulinum toxin (BoNT) injection, which is important in the management of focal spasticity, led to some problems in children. This consensus report includes BoNT injection recommendations in the management of spasticity during the COVID-19 pandemic in children with CP. In order to develop the consensus report, physical medicine and rehabilitation (PMR) specialists experienced in the field of pediatric rehabilitation and BoNT injections were invited by Pediatric Rehabilitation Association. Items were prepared and adapted to the Delphi technique by PMR specialists. Then they were asked to the physicians experienced in BoNT injections (PMR specialist, pediatric orthopedists, and pediatric neurologists) or COVID-19 (pediatric infectious disease, adult infectious disease). In conclusion, the experts agree that conservative management approaches for spasticity may be the initial steps before BoNT injections. BoNT injections can be administered to children with CP with appropriate indications and with necessary precautions during the pandemic.Key words: Botulinum toxin, cerebral palsy, COVID-19, pandemic, spasticity

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APA	Yilmaz Yalcinkaya E, Karadag-Saygi E, Ozyemisci-Taskiran O, Capan N, KUTLAY S, SONEL TUR B, El Ö, Unlu E, Tekin S, Ofluoglu D, ZINNUROGLU M, akpinar p, Misirlioglu T, Hüner B, Nur H, Çağlar Okur S, sezgin m, Tıkız c, öneş k, icagasioglu a, AYDIN A (2021). Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. , 385 - 392. 10.3906/sag-2009-5
Chicago	Yilmaz Yalcinkaya Ebru,Karadag-Saygi Evrim,Ozyemisci-Taskiran Ozden,Capan Nalan,KUTLAY SEHIM,SONEL TUR BİRKAN,El Özlem,Unlu Ece,Tekin Suda,Ofluoglu Demet,ZINNUROGLU MURAT,akpinar pinar,Misirlioglu Tugce Ozekli,Hüner Berrin,Nur Hakan,Çağlar Okur Sibel,sezgin melek,Tıkız canan,öneş kadriye,icagasioglu afitap,AYDIN AYSE RESA Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. (2021): 385 - 392. 10.3906/sag-2009-5
MLA	Yilmaz Yalcinkaya Ebru,Karadag-Saygi Evrim,Ozyemisci-Taskiran Ozden,Capan Nalan,KUTLAY SEHIM,SONEL TUR BİRKAN,El Özlem,Unlu Ece,Tekin Suda,Ofluoglu Demet,ZINNUROGLU MURAT,akpinar pinar,Misirlioglu Tugce Ozekli,Hüner Berrin,Nur Hakan,Çağlar Okur Sibel,sezgin melek,Tıkız canan,öneş kadriye,icagasioglu afitap,AYDIN AYSE RESA Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. , 2021, ss.385 - 392. 10.3906/sag-2009-5
AMA	Yilmaz Yalcinkaya E,Karadag-Saygi E,Ozyemisci-Taskiran O,Capan N,KUTLAY S,SONEL TUR B,El Ö,Unlu E,Tekin S,Ofluoglu D,ZINNUROGLU M,akpinar p,Misirlioglu T,Hüner B,Nur H,Çağlar Okur S,sezgin m,Tıkız c,öneş k,icagasioglu a,AYDIN A Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. . 2021; 385 - 392. 10.3906/sag-2009-5
Vancouver	Yilmaz Yalcinkaya E,Karadag-Saygi E,Ozyemisci-Taskiran O,Capan N,KUTLAY S,SONEL TUR B,El Ö,Unlu E,Tekin S,Ofluoglu D,ZINNUROGLU M,akpinar p,Misirlioglu T,Hüner B,Nur H,Çağlar Okur S,sezgin m,Tıkız c,öneş k,icagasioglu a,AYDIN A Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. . 2021; 385 - 392. 10.3906/sag-2009-5
IEEE	Yilmaz Yalcinkaya E,Karadag-Saygi E,Ozyemisci-Taskiran O,Capan N,KUTLAY S,SONEL TUR B,El Ö,Unlu E,Tekin S,Ofluoglu D,ZINNUROGLU M,akpinar p,Misirlioglu T,Hüner B,Nur H,Çağlar Okur S,sezgin m,Tıkız c,öneş k,icagasioglu a,AYDIN A "Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak." , ss.385 - 392, 2021. 10.3906/sag-2009-5
ISNAD	Yilmaz Yalcinkaya, Ebru vd. "Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak". (2021), 385-392. https://doi.org/10.3906/sag-2009-5

APA	Yilmaz Yalcinkaya E, Karadag-Saygi E, Ozyemisci-Taskiran O, Capan N, KUTLAY S, SONEL TUR B, El Ö, Unlu E, Tekin S, Ofluoglu D, ZINNUROGLU M, akpinar p, Misirlioglu T, Hüner B, Nur H, Çağlar Okur S, sezgin m, Tıkız c, öneş k, icagasioglu a, AYDIN A (2021). Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. Turkish Journal of Medical Sciences, 51(2), 385 - 392. 10.3906/sag-2009-5
Chicago	Yilmaz Yalcinkaya Ebru,Karadag-Saygi Evrim,Ozyemisci-Taskiran Ozden,Capan Nalan,KUTLAY SEHIM,SONEL TUR BİRKAN,El Özlem,Unlu Ece,Tekin Suda,Ofluoglu Demet,ZINNUROGLU MURAT,akpinar pinar,Misirlioglu Tugce Ozekli,Hüner Berrin,Nur Hakan,Çağlar Okur Sibel,sezgin melek,Tıkız canan,öneş kadriye,icagasioglu afitap,AYDIN AYSE RESA Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. Turkish Journal of Medical Sciences 51, no.2 (2021): 385 - 392. 10.3906/sag-2009-5
MLA	Yilmaz Yalcinkaya Ebru,Karadag-Saygi Evrim,Ozyemisci-Taskiran Ozden,Capan Nalan,KUTLAY SEHIM,SONEL TUR BİRKAN,El Özlem,Unlu Ece,Tekin Suda,Ofluoglu Demet,ZINNUROGLU MURAT,akpinar pinar,Misirlioglu Tugce Ozekli,Hüner Berrin,Nur Hakan,Çağlar Okur Sibel,sezgin melek,Tıkız canan,öneş kadriye,icagasioglu afitap,AYDIN AYSE RESA Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. Turkish Journal of Medical Sciences, vol.51, no.2, 2021, ss.385 - 392. 10.3906/sag-2009-5
AMA	Yilmaz Yalcinkaya E,Karadag-Saygi E,Ozyemisci-Taskiran O,Capan N,KUTLAY S,SONEL TUR B,El Ö,Unlu E,Tekin S,Ofluoglu D,ZINNUROGLU M,akpinar p,Misirlioglu T,Hüner B,Nur H,Çağlar Okur S,sezgin m,Tıkız c,öneş k,icagasioglu a,AYDIN A Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. Turkish Journal of Medical Sciences. 2021; 51(2): 385 - 392. 10.3906/sag-2009-5
Vancouver	Yilmaz Yalcinkaya E,Karadag-Saygi E,Ozyemisci-Taskiran O,Capan N,KUTLAY S,SONEL TUR B,El Ö,Unlu E,Tekin S,Ofluoglu D,ZINNUROGLU M,akpinar p,Misirlioglu T,Hüner B,Nur H,Çağlar Okur S,sezgin m,Tıkız c,öneş k,icagasioglu a,AYDIN A Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak. Turkish Journal of Medical Sciences. 2021; 51(2): 385 - 392. 10.3906/sag-2009-5
IEEE	Yilmaz Yalcinkaya E,Karadag-Saygi E,Ozyemisci-Taskiran O,Capan N,KUTLAY S,SONEL TUR B,El Ö,Unlu E,Tekin S,Ofluoglu D,ZINNUROGLU M,akpinar p,Misirlioglu T,Hüner B,Nur H,Çağlar Okur S,sezgin m,Tıkız c,öneş k,icagasioglu a,AYDIN A "Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak." Turkish Journal of Medical Sciences, 51, ss.385 - 392, 2021. 10.3906/sag-2009-5
ISNAD	Yilmaz Yalcinkaya, Ebru vd. "Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak". Turkish Journal of Medical Sciences 51/2 (2021), 385-392. https://doi.org/10.3906/sag-2009-5