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Botulinum toxin was proved to be safe over many years in the pediatric population for many indications. Wide experience and more than a decade of research have provided the basic framework for using botulinum toxins in preventing joint deformities and enhancing motor function. In children, a great opportunity exists with botulinum toxin that allows improved motor control and elongation of shortened muscles. Although 3 to 4 months in an adult life is short, for a child it is a relatively greater proportion of their life experience and may be long enough for skill development. The improvement...