The effect of selective tibial neurotomy and rehabilitation in a quadriplegic patient with ankle spasticity following traumatic brain injury.
Ankle spasticity following brain injury leads to abnormal posture and joint contracture; making standing or walking impossible. This study investigates the efficacy of selective tibial neurotomy (STN) and intensive rehabilitation in a patient who suffered ankle spasticity after brain injury. This case describes a 37-year-old man whose traumatic brain injury (TBI) resulted in severe right ankle spasticity and contracture. He was unable to stand due to severe right ankle spasticity and contracture. Intensive rehabilitation and STN allowed him to walk without brace at 6 months and run at 12 months after STN. STN is an effective procedure to resolve localized spasticity of the ankle and it may be considered as a management strategy after local injection to alleviate ankle spasticity and/or contracture prior to orthopaedic surgery.
Jang
Sung Ho
SH
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 317-1 Daemyungdong, Namku, Taegu 705- 717, Korea.
Park
Sung-Min
SM
Kim
Seong Ho
SH
Ahn
Sang Ho
SH
Cho
Yun Woo
YW
Ahn
Mi Ok
MO
D000328:Adult; D000843:Ankle Joint / Q000294:innervation; D001930:Brain Injuries / Q000150:complications*; D003286:Contracture / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery*; D011782:Quadriplegia / Q000150:complications* / Q000534:rehabilitation* / Q000601:surgery; D020127:Recovery of Function; D013979:Tibial Nerve / Q000503:physiopathology / Q000601:surgery*; D016138:Walking