SPASTICITY-LOWER LIMB BOTOX

SUMMARY

Botulinum toxin in the lower extremity has been shown to reduce spasticity but not necessarily improve function, with the exception of gait velocity:

1. Hip adductors (adductor longus/brevis/magnus) to reduce scissoring thighs and improve hygiene.

2. Flexed knee (hamstrings/gastrocnemius) to improve swing & step length.

3. Extended knee (quadriceps) to improve knee flexion in the early swing phase of gait.

4. Equinovarus foot (gastroc-soleus/tibialis posterior) to improve dorsiflexion and eversion.

5. Extended big toe (extensor hallucis longus) to reduce hyperextension and improve ability to wear shoes.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.