Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study
Botulinum toxin A (BTA) is a recognized treatment for the early management of spasticity in children with Cerebral Palsy. This study quantified with Gait Analysis (GA) the gait pattern of a 4-year-old diplegic child with calf contracture before, 5 days, and 3 months after BTA injections into gastroc...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/985717 |
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| author | Veronica Cimolin Manuela Galli Marcello Crivellini Giorgio Albertini |
| author_facet | Veronica Cimolin Manuela Galli Marcello Crivellini Giorgio Albertini |
| author_sort | Veronica Cimolin |
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| description | Botulinum toxin A (BTA) is a recognized treatment for the early management of spasticity in children with Cerebral Palsy. This study quantified with Gait Analysis (GA) the gait pattern of a 4-year-old diplegic child with calf contracture before, 5 days, and 3 months after BTA injections into gastrocnemius. Kinematic and kinetic data of main lower limb joints were investigated. After only 5 days, ankle dorsi-plantarflexion and knee flex-extension improved, but hip joint worsened, increasing its excessive flexion, to compensate the improvement in knee position of the treated limb and to obtain better stability. A worsening of hip power happened. After 3 months, all joints generally improved their position during gait cycle. Hip and knee joints increased their range of movement and improvements occurred at ankle kinematics and kinetisc, too; a better ankle position and an increase of its capacity of propulsion during terminal stance were evident. |
| format | Article |
| id | doaj-art-9a1309d746004fbbbb90d2f8ace43ef2 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-9a1309d746004fbbbb90d2f8ace43ef22025-02-03T05:50:23ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/985717985717Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case StudyVeronica Cimolin0Manuela Galli1Marcello Crivellini2Giorgio Albertini3Bioengineering Department, Politecnico di Milano, Piaza Leonardo da Vinci 32, 20133 Milano, ItalyBioengineering Department, Politecnico di Milano, Piaza Leonardo da Vinci 32, 20133 Milano, ItalyBioengineering Department, Politecnico di Milano, Piaza Leonardo da Vinci 32, 20133 Milano, ItalyIRCCS “San Raffaele Pisana”, Tosinvest Sanità, Via della Pisana 235, 010163 Roma, ItalyBotulinum toxin A (BTA) is a recognized treatment for the early management of spasticity in children with Cerebral Palsy. This study quantified with Gait Analysis (GA) the gait pattern of a 4-year-old diplegic child with calf contracture before, 5 days, and 3 months after BTA injections into gastrocnemius. Kinematic and kinetic data of main lower limb joints were investigated. After only 5 days, ankle dorsi-plantarflexion and knee flex-extension improved, but hip joint worsened, increasing its excessive flexion, to compensate the improvement in knee position of the treated limb and to obtain better stability. A worsening of hip power happened. After 3 months, all joints generally improved their position during gait cycle. Hip and knee joints increased their range of movement and improvements occurred at ankle kinematics and kinetisc, too; a better ankle position and an increase of its capacity of propulsion during terminal stance were evident.http://dx.doi.org/10.1155/2009/985717 |
| spellingShingle | Veronica Cimolin Manuela Galli Marcello Crivellini Giorgio Albertini Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study Case Reports in Medicine |
| title | Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study |
| title_full | Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study |
| title_fullStr | Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study |
| title_full_unstemmed | Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study |
| title_short | Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study |
| title_sort | quantitative effects on proximal joints of botulinum toxin treatment for gastrocnemius spasticity a 4 year old case study |
| url | http://dx.doi.org/10.1155/2009/985717 |
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