... 2006). Manual restraint of the unaffected limb can be unacceptable to children, so placing the arm inside the clothing, placing objects out of reach of Physiotherapy management of spasticity 89 Figure ... Interestingly, in a recent randomized trial of adults with traumatic brain injury, Verplancke et al. (2005) showed that the addition of botulinum toxin A did not result in any greater gains in ... occurring during acquisition of a novel throwing task. Am J Phys Med, 54: 1–24. Houltram, J., Noble, I., Boyd, R. N. et al. (2001). Botulinum toxin type A in the management of equinus in children...