title: Quantitative effects on proximal joints of botulinum toxin treatment for gastrocnemius spasticity: a 4-year-old case study.
abstract: 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.
authors.affiliation: Bioengineering Department, Politecnico di Milano, Piaza Leonardo da Vinci 32, 20133 Milano, Italy.
authors.forename: Veronica
authors.initials: V
authors.lastname: Cimolin
authors.forename: Manuela
authors.initials: M
authors.lastname: Galli
authors.forename: Marcello
authors.initials: M
authors.lastname: Crivellini
authors.forename: Giorgio
authors.initials: G
authors.lastname: Albertini