Botulinum toxin type A for rehabilitation after a spinal cord injury

a case report.

Amaramalar Selvi Naicker, S. A. Roohi, J. L. Chan

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)96-99
Number of pages4
JournalJournal of orthopaedic surgery (Hong Kong)
Volume17
Issue number1
Publication statusPublished - Apr 2009

Fingerprint

Type A Botulinum Toxins
Pressure Ulcer
Spinal Cord Injuries
Rehabilitation
Social Mobility
Wheelchairs
Botulinum Toxins
Weight-Bearing
Spasm
Osteomyelitis
Activities of Daily Living
Posture
Upper Extremity
Wound Healing
Caregivers
Hip
Lower Extremity
Knee
Sleep
Exercise

ASJC Scopus subject areas

  • Surgery

Cite this

Botulinum toxin type A for rehabilitation after a spinal cord injury : a case report. / Selvi Naicker, Amaramalar; Roohi, S. A.; Chan, J. L.

In: Journal of orthopaedic surgery (Hong Kong), Vol. 17, No. 1, 04.2009, p. 96-99.

Research output: Contribution to journalArticle

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