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

被引:2
|
作者
Weide, Guido [1 ,2 ]
Sloot, Lizeth [2 ]
Oudenhoven, Laura [2 ]
Jaspers, Richard T. [1 ]
Harlaar, Jaap [2 ,3 ]
Buizer, Annemieke I. [2 ]
Bar-On, Lynn [2 ,4 ]
机构
[1] Vrije Univ Amsterdam, Amsterdam Movement Sci, Dept Human Movement Sci, Lab Myol, Amsterdam, Netherlands
[2] Amsterdam UMC, Locat VUmc, Amsterdam Movement Sci, Dept Rehabil Med, Amsterdam, Netherlands
[3] Delft Univ Technol, Dept Biomech Engn, Delft, Netherlands
[4] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium
来源
CLINICAL CASE REPORTS | 2019年 / 7卷 / 09期
关键词
Botulinum toxin; cerebral palsy; foot flexibility; gait; gastrocnemius medialis muscle; intervention; muscle morphology; spasticity; ultrasound; TOXIN TYPE-A; CEREBRAL-PALSY; GASTROCNEMIUS-MUSCLE; DENERVATION; RELIABILITY; INJECTION; STIFFNESS; VALIDITY; EQUINUS; GROWTH;
D O I
10.1002/ccr3.2227
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:1637 / 1646
页数:10
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