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 (Amsterdam UMC, Vrije Universiteit Amsterdam)
Lizeth Sloot (Amsterdam UMC)
Laura Oudenhoven (Amsterdam UMC)
Richard T. Jaspers (Vrije Universiteit Amsterdam)
Jaap Harlaar (TU Delft - Biomechatronics & Human-Machine Control, Amsterdam UMC)
Annemieke Buizer (Amsterdam UMC)
Lynn Bar-On (Amsterdam UMC, Katholieke Universiteit Leuven)
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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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