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

Guido Weide, Lizeth Sloot, Laura Oudenhoven, Richard T. Jaspers, Jaap Harlaar, Annemieke Buizer, Lynn Bar-On

Research output: Contribution to journalArticleScientificpeer-review

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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.

Original languageEnglish
Pages (from-to)1637-1646
JournalClinical Case Reports
Volume7
Issue number9
DOIs
Publication statusPublished - 2019

Keywords

  • Botulinum toxin
  • cerebral palsy
  • foot flexibility
  • gait
  • gastrocnemius medialis muscle
  • intervention
  • muscle morphology
  • spasticity
  • ultrasound

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