Open Access
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
Author(s) -
Weide Guido,
Sloot Lizeth,
Oudenhoven Laura,
Jaspers Richard T.,
Harlaar Jaap,
Buizer Annemieke I.,
BarOn Lynn
Publication year - 2019
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.2227
Subject(s) - medicine , spasticity , paresis , spastic , physical medicine and rehabilitation , botulinum toxin , physical therapy , gait , muscle spasm , cerebral palsy , anesthesia , surgery
Abstract 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.