Unstable gait due to spasticity of the rectus femoris : gait analysis and motor nerve block

Gross, R, Leboeuf, FY ORCID: https://orcid.org/0000-0002-6483-9150, Rémy-Néris, O and Perrouin-Verbe, B 2012, 'Unstable gait due to spasticity of the rectus femoris : gait analysis and motor nerve block' , Annals of Physical and Rehabilitation Medicine, 55 (9-10) , pp. 609-622.

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Abstract

We present the case of a 54 year-old man presenting with a right Brown-Séquard plus syndrome (BSPS) after a traumatic cervical spinal cord injury. After being operated on with selective tibial neurotomy and triceps surae lengthening because of a right spastic equinus foot, he developed a gait disorder at high speed. The patient complained about an instability of the right knee. Observational gait analysis exhibited an oscillating, flexion/extension motion of the right knee during stance, which was confirmed by gait analysis. Dynamic electromyographic recordings exhibited a clonus of the right rectus femoris (RF) during stance. The spastic activity of the RF and the abnormal knee motion totally reversed after a motor nerve block of the RF, as well as after botulinum toxin type A injection into the RF. We emphasize that complex, spastic gait disorders can benefit from a comprehensive assessment including gait analysis and nerve blocks.

Item Type: Article
Uncontrolled Keywords: brown-se,spinal cord injury
Schools: Schools > School of Health and Society
Journal or Publication Title: Annals of Physical and Rehabilitation Medicine
Publisher: Elsevier
ISSN: 1877-0657
Related URLs:
Depositing User: Dr Fabien LEBOEUF
Date Deposited: 05 Oct 2018 13:27
Last Modified: 05 Oct 2018 18:20
URI: http://usir.salford.ac.uk/id/eprint/46460

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