Spastic equinus foot is a common dynamic deformity in patients with cerebral palsy. This dynamic deformity, mainly caused by spasticity of the soleus, gastrocnemius and tibialis posterior muscles, may lead to gait impairment.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients will have unilateral spastic hemiplegia due to vascular or traumatic brain injury, with spastic drop foot impairing gait. Moreover, each patient will be included in a functional rehabilitation program (3 to 5 sessions/week of physiotherapy) during the study. The inclusion criteria are : ? Unilateral clinical symptoms ? Equinus foot without fixed contracture ? Cerebral lesion superior to 2 months ? Independent gait with or without orthesis Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: The exclusion criteria are : ? Absence of prior orthopedic surgery in the lower extremities ? Absence of major cognitive disorders (MMS > 24) ? Absence of others factors interfering with gait as judged by investigators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objective is to assess the analytical and functional effects of Botox injected into the muscles of the calf on patients with gait impairment due to spastic equinus foot.;Secondary Objective: The secondary objective is to do an accurate analysis of the gait of patients with gait impairment due to spastic equinus foot. ;Primary end point(s): The primary endpoints are to analyse, on patients with gait impairment due to spastic equinus foot, the effects of Botox on calf spasticity and on gait (temporospatial parameters, kinematic parameters of ankle, auto-assessment index of gait quality). The secondary endpoints are to analyse, on patients with gait impairment due to spastic equinus foot, the effects of Botox on kinematic parameters of knee and hip during gait, kinetic parameters during gait and static balance in standing position. | — |
Countries
Belgium