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SPASTICITY-LOWER LIMB BOTOX

Neurology

SPASTICITY-LOWER LIMB BOTOX

Botulinum toxin in the lower extremity has been shown to reduce spasticity but not necessarily improve function, with the exception of gait velocity:

1. Hip adductors (adductor longus/brevis/magnus) to reduce scissoring thighs and improve hygiene.

2. Flexed knee (hamstrings/gastrocnemius) to improve swing step length.

3. Extended knee (quadriceps) to improve knee flexion in the early swing phase of gait.

4. Equinovarus foot (gastroc-soleus/tibialis posterior) to improve dorsiflexion and eversion.

5. Extended big toe (extensor hallucis longus) to reduce hyperextension and improve ability to wear shoes.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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