BACKGROUND: Cerebral palsy is a group of movement and posture development disorders. 90% of this population has gait impairment, often due to the presence of spasticity. A number of studies emphasize the importance of combined physical therapy with Botulinum Toxin A treatment. However, no consensus can be reached concerning the content of the physiotherapy programme after treatment with Botulinum Toxin A. AIM: The purpose of the present study was to investigate, through a systematic review of the literature, the effects of physiotherapeutic intervention on gait after Botulinum Toxin application in children with cerebral palsy. METHODS: PubMed, SciELO, Cochrane Library, OTseeker and PEDro databases were searched for randomized trial published between January 2000 and January 2017. RESULTS: Sixty-eight articles were identified, four of which met the eligibility criteria and were selected for the present systematic review. A table was created showing the main characteristics of the studies (groups, inclusion criteria, dosage, injection site, physiotherapeutic intervention, evaluation and outcomes). CONCLUSIONS: This study offers a view on the increase in the therapeutic effectiveness of Botulinum Toxin A on the lower limbs when used in conjunction with a physiotherapeutic intervention, with improvements in mobility, gait pattern, range of motion and spasticity, which are maintained after the end of the physical therapy protocol.

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