Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxins and Orthotics-Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxins and Orthotics

Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxins and Orthotics

Video Transcription

Video Summary

In this video, the presenters discuss different approaches to treating gait disorders caused by spastic hemiplegia. The first presenter, Dr. Abe Alfaro, discusses the use of orthotics, specifically an AFO (ankle foot orthosis), to address ankle and knee instability. He also emphasizes the importance of proper fitting and placement of the AFO to ensure optimal results. Dr. Abe Alfaro also shares his experience with phenol nerve blocks to treat spasticity in the lower limb. He highlights the importance of targeting specific muscles and avoiding sensory-motor mixed areas to minimize the risk of dyssthesias. The second presenter, Dr. Michael Munin, explores the use of botulinum toxin injections for spasticity reduction. He discusses the benefits and risks of chemodenervation and discusses the challenges of achieving optimal results with botulinum toxin injections. Dr. Shen Yang focuses on the neuromechanical consequences of post-stroke hemiplegia on gait. He discusses the complex neural network involved in walking and the impact of stroke on muscle weakness and spasticity. Dr. Shen Yang also highlights the importance of understanding the normal walking gait in order to address the unique gait abnormalities that occur after stroke. Overall, the presenters provide different perspectives on the treatment of gait disorders and emphasize the importance of individualized approaches based on each patient's specific needs and goals.

Keywords

gait disorders

spastic hemiplegia

orthotics

AFO

ankle foot orthosis

phenol nerve blocks

spasticity

botulinum toxin injections

chemodenervation

post-stroke hemiplegia

neuromechanical consequences