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

doi:10.1002/ccr3.2227

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

Rehabilitation medicine

Research output: Contribution to journal › Article › Academic › peer-review

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 language	English
Pages (from-to)	1637-1646
Number of pages	10
Journal	Clinical case reports
Volume	7
Issue number	9
DOIs	https://doi.org/10.1002/ccr3.2227
Publication status	Published - 2019

Cite this

Weide, G., Sloot, L., Oudenhoven, L., Jaspers, R. T., Harlaar, J., Buizer, A., & Bar-On, L. (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. Clinical case reports, 7(9), 1637-1646. https://doi.org/10.1002/ccr3.2227

Weide, Guido ; Sloot, Lizeth ; Oudenhoven, Laura ; Jaspers, Richard T. ; Harlaar, Jaap ; Buizer, Annemieke ; Bar-On, Lynn. / 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. In: Clinical case reports. 2019 ; Vol. 7, No. 9. pp. 1637-1646.

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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.",

keywords = "Botulinum toxin, cerebral palsy, foot flexibility, gait, gastrocnemius medialis muscle, intervention, muscle morphology, spasticity, ultrasound",

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

In: Clinical case reports, Vol. 7, No. 9, 2019, p. 1637-1646.

Research output: Contribution to journal › Article › Academic › peer-review

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Access to Document

10.1002/ccr3.2227