Comprehensive evaluation of gait, spasticity, and muscle morphology: A case report of a child with spastic paresis treated with Botulinum NeuroToxin‐A, serial casting, and physiotherapy

Comprehensive instrumented muscle and joint assessments should be considered when prescribing Botulinum NeuroToxin‐A (BoNT‐A) treatment in spastic paresis. In a child with spastic paresis, comprehensive evaluation following treatment with BoNT‐A, serial casting, and physiotherapy showed that short‐t...

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Bibliographic Details
Published in:Clinical case reports 2019-09, Vol.7 (9), p.1637-1646
Main Authors: Weide, Guido, Sloot, Lizeth, Oudenhoven, Laura, Jaspers, Richard T., Harlaar, Jaap, Buizer, Annemieke, Bar‐On, Lynn
Format: Article
Language:English
Subjects:
Age
Ankle
Botulinum toxin
Case Report
Case Reports
cerebral palsy
Experiments
Flexibility
foot flexibility
Gait
gastrocnemius medialis muscle
Hyperactivity
intervention
Metabolism
Morphology
muscle morphology
Spasticity
ultrasound
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Summary:Comprehensive instrumented muscle and joint assessments should be considered when prescribing Botulinum NeuroToxin‐A (BoNT‐A) treatment in spastic paresis. In a child with spastic paresis, comprehensive evaluation following treatment with BoNT‐A, serial casting, and physiotherapy showed that short‐term improvements in gait occurred without changes in muscle morphology. Rather, foot flexibility increased. Short‐term improvements in a child's gait with spastic paresis following Botulinum Neurotoxin‐A, serial casting and hysiotherapy treatment were explained by a reduction of spasticity and increased foot flexibility, rather than by changes in muscle morphology. There were no long‐term positive effects on gait.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.2227