scholarly journals Spatiotemporal Gait Analysis and Lower Limb Functioning in Foot Dystonia Treated with Botulinum Toxin

Toxins ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 532 ◽  
Author(s):  
Anupam Datta Gupta ◽  
Graeme Tucker ◽  
Simon Koblar ◽  
Renuka Visvanathan ◽  
Ian Cameron
Keyword(s):  
Botulinum Toxin ◽  
Gait Analysis ◽  
Lower Limb ◽  
Functional Outcomes ◽  
Stride Length ◽  
Rating Scale ◽  
Botulinum Toxin Injection ◽  
Step Length ◽  
Small Sample ◽  
Gait Velocity

Foot dystonia (FD) is a disabling condition causing pain, spasm and difficulty in walking. We treated fourteen (14) adult patients experiencing FD with onabotulinum toxin A injection into the dystonic foot muscles. We analyzed the spatiotemporal gait utilizing the GaitRite system pre- and 3 weeks post-botulinum toxin injection along with measuring dystonia by the Fahn–Marsden Dystonia Scale (FMDS), pain by the Visual Analog Scale (VAS) and other lower limb functional outcomes such as gait velocity, the Berg Balance Scale (BBS), the Unified Parkinson’s Disease Rating Scale–Lower Limb Score (UPDRS–LL), the Timed Up and Go (TUG) test and the Goal Attainment Scale (GAS). We found that stride length increased significantly in both the affected (p = 0.02) and unaffected leg (p = 0.01) after treatment, and the improvement in stride length was roughly the same in each leg. Similar results were found for step length (p = 0.02) with improvement in the step length differential (p = 0.01). The improvements in the lower limb functional outcomes were also significant—FMDS, VAS, TUG, and UPDRS–LL decreased significantly after treatment (all p < 0.001), and BBS (p = 0.001), GAS (p < 0.001) except cadence (p = 0.37). BT injection improved walking in foot dystonia as evidenced through gait analysis, pain and lower limb functional outcomes. Main study limitations were small sample size and lack of control.

A Study of Effects of Intervention of Botulinum Toxin- A on Lower Limb in Children with Spastic Cerebral Palsy

2015 ◽  
Vol 26 (4) ◽  
pp. 94-101
Author(s):  
U Singh ◽  
Raj Kumar ◽  
Sanjay Wadhwa ◽  
SL Yadav
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Range Of Motion ◽  
Lower Limb ◽  
Stride Length ◽  
Botulinum Toxin A ◽  
Step Length ◽  
Spastic Cerebral Palsy ◽  
Toxin A ◽  
Base Of Support

Abstract Objective Analysis of clinical gait pattern, change in spasticity and range of motion (ROM) in cerebral palsy patient (CP) with spastic lower limb muscle after injecting botulinum toxin- A. Study Design Prospective study Methods 28 children (18 male and 10 female) with spastic CP had problems in normal walking, aged 2–9 years (mean age 4.65 years), consecutively treated in the PMR department over a 2-year period, were prospectively followed-up and clinically assessed pre- and post-treatment (at 2 weeks and 2 months) both objectively and subjectively. Objective assessment included gait parameters -- stride length, cadence, velocity, step length, base of support; active and passive range of motion (ROM), (measured by goniometry) and spasticity on modified Ashworth scale. Subjective assessment was done by asking questionnaire in terms of comfort, ease of care, perineal hygiene, walking. Injections were given using clinical palpatory method on OPD basis. All patients received botulinum toxin-A injections, followed with exercises and activities and orthosis as needed. Results Significant improvement was achieved for spasticity reduction in gastrocnemius (p< 0.001), hamstring and adductor (p=0.050), ankle AROM & PROM (p< 0.001), active knee extension (p=0.009), popliteal angle (p=0.015) and percentage left and right foot contact (p< 0.001), whereas non-significant change was observed in step length, cadence, velocity, stride length, and base of support. Parents felt subjective improvement in most of the cases (>90%). Conclusions Botulinum toxin- A injection is effective in the treatment of spastic lower limb muscles for equinus/ crouching/scissoring gait in cerebral palsy children. The treatment was feasible and easily implemented. Botulinum toxin- A injections were well tolerated, yielded no serious treatment-related adverse events.

Effects of Onabotulinum Toxin A on Gait in Parkinson’s Disease Patients with Foot Dystonia

2021 ◽  
pp. 1-6
Author(s):  
Pei Huang ◽  
Yuan-Yuan Li ◽  
Jung E. Park ◽  
Ping Huang ◽  
Qin Xiao ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Botulinum Toxin ◽  
Gait Analysis ◽  
Rating Scale ◽  
Analog Scale ◽  
Toxin A ◽  
Timed Up And Go ◽  
Balance Test ◽  
Onabotulinum Toxin A

ABSTRACT: We investigated the effects of botulinum toxin on gait in Parkinson’s disease (PD) patients with foot dystonia. Six patients underwent onabotulinum toxin A injection and were assessed by Burke–Fahn–Marsden Dystonia Rating Scale (BFMDRS), visual analog scale (VAS) of pain, Timed Up and Go (TUG), Berg Balance Test (BBT), and 3D gait analysis at baseline, 1 month, and 3 months. BFMDRS (p = 0.002), VAS (p = 0.024), TUG (p = 0.028), and BBT (p = 0.034) were improved. Foot pressures at Toe 1 (p = 0.028) and Midfoot (p = 0.018) were reduced, indicating botulinum toxin’s effects in alleviating the dystonia severity and pain and improving foot pressures during walking in PD.

scholarly journals Effect of Functional Electrical Stimulation of the Gluteus Medius during Gait in Patients following a Stroke

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sota Araki ◽  
Masayuki Kawada ◽  
Takasuke Miyazaki ◽  
Yuki Nakai ◽  
Yasufumi Takeshita ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Lower Limb ◽  
Stride Length ◽  
Gluteus Medius ◽  
Gait Velocity ◽  
Inertial Measurement Units ◽  
Stroke Patients ◽  
Inertial Measurement ◽  
Motion Range ◽  
Measurement Units

Many stroke patients rely on cane or ankle-foot orthosis during gait rehabilitation. The purpose of this study was to investigate the immediate effect of functional electrical stimulation (FES) to the gluteus medius (GMed) and tibialis anterior (TA) on gait performance in stroke patients, including those who needed assistive devices. Fourteen stroke patients were enrolled in this study (mean poststroke duration: 194.9 ± 189.6   d ; mean age: 72.8 ± 10.7   y ). Participants walked 14 m at a comfortable velocity with and without FES to the GMed and TA. After an adaptation period, lower-limb motion was measured using magnetic inertial measurement units attached to the pelvis and the lower limb of the affected side. Motion range of angle of the affected thigh and shank segments in the sagittal plane, motion range of the affected hip and knee extension-flexion angle, step time, and stride time were calculated from inertial measurement units during the middle ten walking strides. Gait velocity, cadence, and stride length were also calculated. These gait indicators, both with and without FES, were compared. Gait velocity was significantly faster with FES ( p = 0.035 ). Similarly, stride length and motion range of the shank of the affected side were significantly greater with FES (stride length: p = 0.018 ; motion range of the shank: p = 0.02 6). Meanwhile, cadence showed no significant difference ( p = 0.238 ) in gait with or without FES. Similarly, range of motion of the affected hip joint, knee joint, and thigh did not differ significantly depending on FES condition ( p = 0.115 ‐ 0.529 ). FES to the GMed and TA during gait produced an improvement in gait velocity, stride length, and motion range of the shank. Our results will allow therapists to use FES on stroke patients with varying conditions.

Immediate Effects of the Dorsiflexion Angle of Hinged Ankle-foot Orthosis on the Spatiotemporal Gait Parameters of Children With Spastic Cerebral Palsy

2021 ◽  
Author(s):  
IlHyun Son ◽  
GyuChang Lee
Keyword(s):  
Cerebral Palsy ◽  
Stride Length ◽  
Step Length ◽  
Gait Velocity ◽  
Spastic Cerebral Palsy ◽  
Spastic Diplegia ◽  
Ankle Foot Orthosis ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Foot Orthosis

Abstract Background: It has been reported the effects of a hinged ankle-foot orthosis on the gait ability of children with cerebral palsy. However, no studies investigated the effects of the dorsiflexion angle of the hinged ankle-foot orthosis on the spatiotemporal gait parameters of children with cerebral palsy. This study aimed to investigate the immediate effects of a 10° dorsiflexion inducing ankle-foot orthosis the spatiotemporal gait parameters of children with spastic diplegia compared to barefoot and a hinged ankle-foot orthosis.Methods: This study was cross-over design. 10 children with spastic diplegia were walked with barefoot, a hinged ankle-foot orthosis, and a 10° dorsiflexion inducing ankle-foot orthosis. GAITRite was used to collect the spatiotemporal gait parameters including gait velocity, cadence, step length, stride length, single leg support, and double leg support. Results: It showed that a 10° dorsiflexion inducing ankle-foot orthosis significantly improved the gait velocity, cadence, step length, stride length, single leg support, and double leg support than barefoot and a hinged ankle-foot orthosis (p<.05). Conclusion: The results of this study implied that a 10° dorsiflexion inducing ankle-foot orthosis could improve the gait ability of children with spastic diplegia more than barefoot or a hinged ankle-foot orthosis. High quality future studies will need to examine the effects of hinged ankle-foot orthosis on gait ability according to dorsiflexion angles.

Gait Analysis as an Objective Tool Previous to Botulinum Toxin Injection in Spinal Cord Injured Patients: A Case Study

2021 ◽  
pp. 965-970
Author(s):  
C. Redondo-Galán ◽  
S. Ceruelo-Abajo ◽  
I. Sinovas-Alonso ◽  
A. de los Reyes-Guzmán ◽  
J. Madrid-Sánchez ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Botulinum Toxin ◽  
Gait Analysis ◽  
Botulinum Toxin Injection ◽  
Injured Patients ◽  
Spinal Cord Injured ◽  
Objective Tool

scholarly journals Influence of botulinum toxin in injection in gait velocity of patients with lower limb spasticity

2014 ◽  
Vol 57 ◽  
pp. e51 ◽  
Author(s):  
G. Mellos ◽  
G. Bikos ◽  
N. Maragakis ◽  
I. Sioutis ◽  
N. Roussos ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Lower Limb ◽  
Gait Velocity ◽  
Limb Spasticity ◽  
Lower Limb Spasticity

scholarly journals Botulinum toxin injection for pathological lower limb flexion in hemiplegic patients

2011 ◽  
Vol 54 ◽  
pp. e145 ◽  
Author(s):  
M. Rousseaux ◽  
W. Daveluy ◽  
J. Paquereau ◽  
O. Kozlowski ◽  
F. Beaucamp
Keyword(s):  
Botulinum Toxin ◽  
Lower Limb ◽  
Botulinum Toxin Injection ◽  
Limb Flexion

scholarly journals Analysis of the spatio-temporal gait parameters of transtibial amputees

2018 ◽  
Vol 1 (2) ◽  
pp. 247-253
Author(s):  
Yuliana Ruiz-Piragauta ◽  
Brigette Paola Torres-Bello ◽  
Esperanza Camargo-Casallas
Keyword(s):  
Lower Limb ◽  
Stride Length ◽  
Inertial Sensors ◽  
Step Length ◽  
Gait Pattern ◽  
Gait Parameters ◽  
Length Step ◽  
Spatio Temporal ◽  
Antipersonnel Mines ◽  
Transtibial Amputees

In this study we analyzed the spatio-temporal parameters (step length, step time, stride length, stride time, speed and rate) of three unilateral transtibial amputees in order to find the best gait pattern and this verify the adaptation of the prosthesis, using inertial sensors of the TECHNAID ® brand in order to make the diagnosis in an objective way; the data were processed using the MARCHA ET software of the DIGITI research group of the Universidad Distrital Francisco José de Caldas. In this study, were analyzed three subjects from the Hospital Militar Central (HMC) the cause of amputation is due to trauma caused by antipersonnel mines. It was found that subjects with unilateral transtibial amputation lean on more time and carry more weight on their healthy lower limb, which leads to an increase in mechanical demand on the knee joint of the amputated leg.

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