Leg muscle EMG responses evoked by short treadmill acceleration impulses applied during stance were analysed in patients with spastic hemiparesis. The compensatory reactions on the unaffected side consisted of a diphasic pattern of leg muscle activation. The first response could best be described as a polysynaptic spinal stretch reflex response. This response was absent on the spastic side, exc...

OBJECTIVE To retrospectively compare 2 injection techniques in the management of spastic equinovarus deformity after stroke. METHODS Patients with stroke were seen at King Hussein Medical Center, Amman, Jordan between January and December 2009. The study design involved an open label retrospective analysis of medical records of 2 groups of comparable age and onset of first stroke. Botulinum t...

AIM To reduce ankle clonus in patients with spastic paresis either phenol nerve block of the tibialis posterior nerve or botulinum toxin type A (BTA) injection in triceps surae muscles can be used. This study aims to compare the efficacy over time of phenol nerve block and BTA injection in the inhibition of ankle clonus. METHODS Twenty-two patients with spastic paresis presenting with ankle c...

The cerebral angioma is an arterio-venous communication of congenital origin and in its structure does not differ essentially from similar malformations elsewhere. Their occasional presence in the brain was already known to pathologists nearly Ioo years ago and the first presumptive clinical diagnosis was made in I898. This was in a patient who had a left spastic hemiparesis and a loud bruit, a...

Tension lag time on electric stimulation (TLTe), i.e., latency from the stimulus to the rise of tension, and contraction time (CT) of the rectus femoris muscle on twitch contraction were measured on the affected and non-affected sides of eight patients with spastic hemiparesis due to stroke. Both TLTe and CT were significantly longer on the affected side than on the non-affected side, suggestin...

Abstract Background Opposing needling has an obvious curative effect in the treatment of post-stroke hemiplegia; however, mechanism opposing hemiplegia is still not clear. The purpose this study to investigate on excitability primary motor cortex (M1) healthy participants and patients with hemiplegia, which may provide insight into mechanisms treating hemiplegia. Methods This will be a single-b...

Kinematics-based studies before and after selective tibial neurotomy (STN) gait have not been performed. It is very important for spastic patients before and after STN to evaluate quality of gait motion. We examined the quantitative changes in kinetic and kinematic parameters in the gait of a hemiplegic patient after STN. A patient with stroke-related hemiplegia who did not require aids to walk...

BACKGROUND Lower limb rotational anomalies in spastic diplegic children with cerebral palsy (CP) are common and difficult to identify through physical examination alone. The identification and treatment of the overall rotational disorders must be considered to restore physiological lever-arms lengths and lever-arms orientation.The aims of the study were to assess the prevalence of lower limb ro...

Botulinum toxin type A (BtxA) injection, constraint-induced movement therapy (CIMT), and robotic therapy (RT) each represent promising approaches to enhance arm motor recovery after stroke. To provide more effective treatment for a 50-year-old man with severe left spastic hemiparesis, we attempted to facilitate CIMT with adaptive approaches to extend the wrist and fingers using RT for 10 consec...