Article

In this case report, we describe the type and duration of a physical
therapy and botulinum toxin type A (BoNTA) intervention directed at lower limb
spasticity and the gait and balance improvement in a patient post-stroke.
Treatment of focal spasticity with BoNTA intramuscular injections combined with
physical therapy is recommended by rehabilitation experts. However, the optimal
type and duration of physical therapy intervention to optimize any functional
gains that follow chemodenervation induced by BoNTA has not been established.
METHOD: One individual with chronic stroke who received BoNTA injections for
upper and lower extremity spasticity was included. Physical therapy intervention
consisted of 45- to 60-min sessions twice weekly for 12 weeks, based on the
Bobath-neurodevelopmental therapy approach, and an activity-based home program.
RESULTS: After BoNTA injections and physical therapy, the patient made clinically
significant improvements in balance and gait speed and became more independent
with his ambulation. CONCLUSIONS: This case report demonstrates that physical
therapy after BoNTA injections can result in significant functional improvements
for individuals with spasticity after chronic stroke that may not be possible
with BoNTA injections alone.

Langue : ANGLAIS