PHYS THER
Vol. 84, No. 1, January 2004, pp. 76-84
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Right arrow Gait and Locomotion Training
Right arrow Injuries and Conditions: Ankle
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Evidence In Practice

Is there evidence that botulinum toxin injections are more effective than phenol injections in relieving poststroke reflex activity during plantar flexion, thereby increasing ankle range of motion and improving gait function?

Jody Cormack and Christopher M Powers

Jody Cormack, PT, DPT, NCS, is Associate Professor, Department of Physical Therapy, California State University Long Beach, Long Beach, Calif
Christopher M Powers, PT, PhD, is Associate Professor, Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, Calif


Because this article has no abstract, we have provided an extract of the full text and any section headings.


The purpose of "Evidence in Practice" is to illustrate the literature search process to obtain evidence that can guide clinical decision making. This article is not a case report. The examination, evaluation, and intervention sections are purposely abbreviated.

 

A 60-year-old man was playing tennis when he collapsed on the court with a left cerebrovascular accident (CVA). He was stabilized in acute care, transferred to a rehabilitation facility 2 weeks after his stroke, and then discharged 3 weeks later. At the time of discharge, he could walk 100 feet with "minimal" assistance (ie, he was able to perform 75% of the activity) using a front-wheel walker. We first met the patient 3 months after his stroke to examine him for outpatient rehabilitation.

The patient's primary goal was to return to work as a warehouse supervisor and, eventually, to play tennis. At the time of the examination, he was independent in community . . . [Full Text of this Article]


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Database used for search: MEDLINE
 

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Initial keywords: stroke, spasticity, Botox, phenol, gait
 

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Clinical decision:
 

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