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Botulinum Toxin Type a for Rehabilitation after a Spinal Cord Injury: A Case Report
| Content Provider | SAGE Publishing |
|---|---|
| Author | Naicker, As Roohi, Sa Chan, Jll |
| Copyright Year | 2009 |
| Abstract | A 56-year-old man became quadriplegic, bed bound, and carer-dependent secondary to cervical osteomyelitis. Three years later, he presented with generalised spasticity, crouched posture, and a large sacral pressure sore. The severe spasticity in his hips and knees prevented ischial sitting. Injections of botulinum toxin type A to both hamstrings and gastrosoleuii controlled the flexor spasticity of his lower limbs and facilitated rehabilitation and wound healing through proper positioning, wound care, stretching, and weight-bearing exercises. A few weeks later, the patient could better position himself in bed (prone lying) and on his wheelchair (ischial sitting). His spasm-related pain lessened and his mobility and activities of daily living improved. The sacral pressure sore healed completely a few months later. The patient could sleep better, feed with set-up and adaptive aids, groom, dress, and transfer himself with minimal assistance. The effects of botulinum toxin extended beyond just spasticity reduction. His upper extremity function, mobility, and social well-being were all improved through better positioning. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/230949900901700121?download=true |
| Starting Page | 96 |
| Ending Page | 99 |
| Page Count | 4 |
| ISSN | 10225536 |
| Issue Number | 1 |
| Volume Number | 17 |
| Journal | Journal of Orthopaedic Surgery (OSJ) |
| e-ISSN | 23094990 |
| DOI | 10.1177/230949900901700121 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2009-04-01 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © 2009 Asia Pacific Orthopaedic Association |
| Rights License | Llicensed Under Creative Commons Licenses |
| Subject Keyword | spinal cord injuries botulinum toxin type A clostridium botulinum muscle spasticity osteomyelitis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
