I have a 50 year old man s/p bilat CVA with hihg tonus in the gastrocs and
severe achilles contractures, ankles are in 30degrees pf who just underwent
Botox injections to both sides -gastrosoleus. I would appreciate any rehab
ideas other than standing with heklp of standing board. Manual stretching is
pretty useless
at the moment but may become easier after the injections. Casting , some
months ago was also pretty futile. What to expect?
I also wanted to know if anyone had heard of Botox in the treatment of
excessive drooling in children with CP
Thanks
Suzanne Solomons PT
Garry T Allison wrote:
> DJ Simpson BSc(Hons) Pod SRCh MChS RN wrote:
> >is anyone aware of Botox injections? and their outcomes in the
> >rehabilitation of adults with chronic TEV & spasticity following head
> >injuries??
>
> I am currently supervising a research project through The Centre for
> Musculoskeletal Studies & Royal Perth Hospital (Physiotherapy Department)
> in Perth Western Australia with one arm of the intervention using Botox
> injections.
>
> There is a lot of information as to the specific adaptations to muscles
> following Botox - how this translates to measureable changes in the
> outcomes of certain groups of individuals is of interest.
> We are interested in the changes which occur at the ankle in individuals
> with traumatic head injuries.
>
> We should have some data for publication in the next few months -
>
> Defining assessing - spasticity, stiffness, range of motion, noticable
> tension, .... is of great 'interest' to us.
>
> If anyone has any new ideas / suggestions in regard to assessing the ankle
> in this population - I would be most interested (Not so much dystonis more
> ROM and velocity dependent factors of resistance to movement and muscle
> activation). Clinicians comments more than welcomed - this project is
> driven by clinicians.
> I'll make a summary if mailed personally.
>
> cheers
> Garry.
>
> ________________________________________________
> Garry T Allison (A/Professor of Physiotherapy)
> The Centre for Musculoskeletal Studies http://www.cms.uwa.edu.au/
> Department of Surgery, The University of Western Australia.
> Level 2 Medical Research Foundation Building
> Rear 50 Murray Street
> Perth Western Australia 6000.
> email <[log in to unmask]>
> ph: (618) 9224 0219
> Fax (618) 9224 0204
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