Objective Hypermetric tremors, i.e. of cerebellar origin (essential tremor, cerebellar stroke or tumor, multiple sclerosis, hereditary spinocerebellar ataxias), directly relate to iterative hypermetria by delayed antagonist correction at each movement…
Objective The therapeutic effects of intramuscular injections of botulinum toxin-type A on spasticity can be largely explained by its blocking action at the neuromuscular junction. BTx-A is assumed also to…
Objective Spasticity of the upper limb is a disabling symptom in patients with vascular hemiplegia, both functionally and orthopedic evolution of these patients. Many treatments exist for spasticity, and botulinum…
Objective To assess the effect of early rehabilitation on the cutaneous and musculoskeletal impairments in burn patients in sub-Sahara Africa. Material/patients and methods This is a prospective comparative study of…
Opinion/Feedback Intrathecal baclofen is now an admitted treatment of generalized and disabling spasticity. Technical incidents of the device remain frequent, mainly due to catheter problems. Consequences can be abrupt with…
Objective Almost 10% of older adults in nursing homes have a fixed flexion deformity of the fingers (claw hand). Such contractures have important functional consequences, often leading to hygiene difficulties….
Objective To present the efficacy of the neurotomy of the rectus femoris muscle in the treatment of stiff-knee gait in patients with unilateral spastic paresis. Material/patients and methods – Design: intervention…
Objective The spastic hemiplegic patient often presents dystonia of extensor hallucis longus (EHL) and, more rarely, extensor digitorum longus (EDL). This dystonia is difficult to treat by tendon lengthening, because…
Objective Beside the posterior leg compartment, spasticity of the hemiplegic patient can involve other muscle groups in the leg. Spasticity of the lateral compartment is responsible of a vertical clonus…
Objective The majority of toe claws in spastic patients are of extrinsic origin, by hypertonia and/or retraction of the long flexor muscles; they are treated by a partial neurotomy (hyponeurotization)…
