Yonsei Med J.  2004 Aug;45(4):743-747. 10.3349/ymj.2004.45.4.743.

The Effect of Selective Tibial Neurotomy and Rehabilitation in a Quadriplegic Patient with Ankle Spasticity Following Traumatic Brain Injury

Affiliations
  • 1Department of Physical Medicine & Rehabilitation, Yeungnam University College of Medicine, Taegu, Korea. smseven@hanmail.net
  • 2Department of Neurosurgery, Yeungnam University College of Medicine, Taegu, Korea.

Abstract

Ankle spasticity following brain injury leads to abnormal posture and joint contracture; making standing or walking impossible. This study investigates the efficacy of selective tibial neurotomy (STN) and intensive rehabilitation in a patient who suffered ankle spasticity after brain injury. This case describes a 37-year-old man whose traumatic brain injury (TBI) resulted in severe right ankle spasticity and contracture. He was unable to stand due to severe right ankle spasticity and contracture. Intensive rehabilitation and STN allowed him to walk without brace at 6 months and run at 12 months after STN. STN is an effective procedure to resolve localized spasticity of the ankle and it may be considered as a management strategy after local injection to alleviate ankle spasticity and/or contracture prior to orthopaedic surgery.

Keyword

Ankle spasticity; contracture; brain injury; selective tibial neurotomy

MeSH Terms

Adult
Ankle Joint/innervation
Brain Injuries/*complications
Contracture/etiology/rehabilitation/surgery
Humans
Male
Muscle Spasticity/etiology/*rehabilitation/*surgery
Quadriplegia/*complications/*rehabilitation/surgery
Recovery of Function
Research Support, Non-U.S. Gov't
Tibial Nerve/physiopathology/*surgery
Walking

Cited by  1 articles

The Effect of a Hand-Stretching Device During the Management of Spasticity in Chronic Hemiparetic Stroke Patients
Eun Hyuk Kim, Min Cheol Jang, Jeong Pyo Seo, Sung Ho Jang, Jun Chan Song, Hae Min Jo
Ann Rehabil Med. 2013;37(2):235-240.    doi: 10.5535/arm.2013.37.2.235.

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