Clinical Case Reports (Sep 2019)

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 I. Buizer,
  • Lynn Bar‐On

DOI
https://doi.org/10.1002/ccr3.2227
Journal volume & issue
Vol. 7, no. 9
pp. 1637 – 1646

Abstract

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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.

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