Flow chart of care and comfort study according to CONSORT guidelines. Key:- BoNT-A, Botulinum Toxin A. GMFCS, Gross Motor Function Classification System. MACS, Manual Ability Classification System. T1-T6. Time-points 1-6. COPM, Canadian Occupational Performance Measure. CPQOL-Child, CP Quality of Life – Child. CCHQ – Child Health Questionnaire. PPP – Paediatric Pain Profile.