 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue2
Subject Area: Medicine
-
DOI: 10.5272/jimab.2025312.6185
Published online: 09 May 2025
Case report
J of IMAB. 2025 Apr-Jun;31(2):6185-6188
REHABILITATION OF A STROKE PATIENT WITH THE METHODS OF ACTIVE KINESIOTHERAPY AFTER BOTOX INJECTION IN SPASTIC MUSCLES
Gergana Gecheva-Fermendzhieva
,
Physiotherapy and Rehabilitation Department, Trakia University, Stara Zagora, Bulgaria.
ABSTRACT:
It is presented in this study a case of 54 years old man with stroke and chronic right hemiparesis and Wernicke-Mann gait hospitalized in the medical center for rehabilitation with kinesiotherapy and botulinum toxin injection. Six months ago, he got an acute headache, tingling in the right hand, inability to move the right lower and upper limb, as well as inability to walk independently. Hospitalized in the Neurology department, where an MRI of the brain was conducted and exhibited hemorrhagic stroke. The patient complained about instability of the right leg and difficulty in daily activities. Observational gait analysis showed violations in flexion of the right knee due to spasticity of m.quadriceps femoris dextra during the stance phase of the gate. Dynamic smart insoles recordings showed increasing in knee flexion and gait velocity after botulinum toxin injection in parallel with systematic kinesiotherapy, which lasted 1 month. The results exhibited that spastic gate disorders can improve with systemic kinesiotherapy and spasticity-reducing agents such as botulinum toxin A.
Keywords: botulinum toxin, stroke, hemiplegic, gate, spasticity,
- Download FULL TEXT /PDF 481 KB/
Please cite this article as: Gecheva-Fermendzhieva G. Rehabilitation of a stroke patient with the methods of active kinesiotherapy after Botox injection in spastic muscles. J of IMAB. 2025 Apr-Jun;31(2):6185-6188. [Crossref - 10.5272/jimab.2025312.6185]
Correspondence to: Dr Gergana Gecheva – Fermendzhieva, Medical center “Pavel banya” ltd.; 16, Petko Kolev Str., Pavel banya, Bulgaria; E-mail: dr.ggecheva@abv.bg
REFERENCES:
1. Choi DY, Bae H, Bae JH, Kim HJ, Hu KS. Effective locations for injecting botulinum toxin into the mentalis muscle; cadaveric and ultrasonographic study. Toxins (Basel). 2021 Jan 27;13(2):96. [PubMed]
2. Minelli L, Wilson JL, Bravo FG, Hodgkinson DJ, O'Daniel TG, van der Lei B, et al. The functional anatomy and innervation of the platysma is segmental: implications for lower lip dysfunction, recurrent platysmal bands, and surgical rejuvenation. Aesthet Surg J. 2023 Sep 14;43(10):1091-1105. [PubMed]
3. Hu H, Kim SB, Wan J, Chan LKW, Lee AKW, Sydorchuk O, et al. Anatomical Guidelines and Technical Tips for Neck Aesthetics with Botulinum Toxin. Arch Plast Surg. 2024 Aug 9;51(5):447-458. [PubMed ]
4. Pérez-de la Cruz S. Comparison between Three Therapeutic Options for the Treatment of Balance and Gait in Stroke: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021 Jan 7;18(2):426. [PubMed]
5. Pérez-de la Cruz S. Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients. Int J Environ Res Public Health. 2020 Jul 1;17(13):4728. [PubMed]
6. Yi KH, Lee HJ, Choi YJ, Lee K, Lee JH, Kim HJ. Anatomical guide for botulinum neurotoxin injection: Application to cosmetic shoulder contouring, pain syndromes, and cervical dystonia. Clin Anat. 2021 Sep;34(6):822-828. [PubMed]
7. Yi KH, Lee HJ, Choi YJ, Lee JH, Hu KS, Kim HJ. Intramuscular Neural Distribution of Rhomboid Muscles: Evaluation for Botulinum Toxin Injection Using Modified Sihler's Method. Toxins (Basel). 2020 May 3;12(5):289. [PubMed]
8. Yi KH, Choi YJ, Cong L, Lee KL, Hu KS, Kim HJ. Effective botulinum toxin injection guide for treatment of cervical dystonia. Clin Anat. 2020 Mar;33(2):192-198. [PubMed]
9. Yi KH, Lee HJ, Lee JH, Seo KK, Kim HJ. Application of Botulinum Neurotoxin Injections in TRAM Flap for Breast Reconstruction: Intramuscular Neural Arborization of the Rectus Abdominis Muscle. Toxins (Basel). 2021 Apr 9;13(4):269. [PubMed]
10. Ziagkas E, Loukovitis A, Zekakos DX, Chau TD-P, Petrelis A, Grouios G. A Novel Tool for Gait Analysis: Validation Study of the Smart Insole PODOSmart®. Sensors. 2021; 21(17):5972. [Crossref]
11. Stoquart GG, Detrembleur C, Palumbo S, Deltombe T, Lejeune TM. Effect of botulinum toxin injection in the rectus femoris on stiff-knee gait in people with stroke: a prospective observational study. Arch Phys Med Rehabil. 2008 Jan;89(1):56-61. [PubMed]
Published online: 09 May 2025