1213 - Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxins and Orthotics

Saturday, October 22, 2022

2:15 PM – 3:30 PM ET

Location: 309-310

Session Director(s)

Sheng Li, MD PhD

Professor, Director Of Stroke Recovery And Rehabilitation Research, McGovern Medical School, University of Texas health science center - Houston (UTHealth)
TIRR Memorial Hermann

Disclosed no relevant financial relationships.

PDF of Slides

Faculty(s)

Abraham Alfaro, PhD, DO

Rehabilitation Medicine Consultant; Director, Division of PM&R.
AtlantiCare Health Services: Federally Qualified Health Center
Linwood, New Jersey

Disclosed no relevant financial relationships.

PDF of Slides
MM

Michael Munin, MD

University Pittsburgh School of Med
Pittsburgh, Pennsylvania

Disclosed no relevant financial relationships.

Gait disorders in patients with spasticity and hemiparesis are common after brain injuries and stroke. Gait disorders are the clinical presentation of interactions among muscle weakness (hemiparesis), involuntary and synergistic activation of spastic muscles and ground reaction force during ambulation. Appropriate management of spasticity is required for best restoration of mechanical alignment of the kinetic chains, including ankle/foot, knee, joint and trunk. However, such complicated interactions are not well understood, and gait disorders with spasticity are often poorly treated. In this session, we will present a theoretical framework to advance our understanding of such complicated interactions, and we will present different treatment options for best clinical outcomes. Pros and cons of these treatment options will be discussed.

Learning Objectives:

to describe interactions among muscle weakness from hemiparesis, spasticity and ground reaction force that underlying gait disorders
To select appropriate treatment options for spastic gait disorders, including phenol, toxins, and orthosis.
to apply the knowledge in real clinical cases

Presentations:

Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxins and Orthotics
Speaker: Sheng Li, MD PhD – TIRR Memorial Hermann
Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxins and Orthotics
Speaker: Abraham Alfaro, PhD, DO – AtlantiCare Health Services: Federally Qualified Health Center
Gait Disorders with Spastic Hemiparesis: Treatment with Nerve Blocks, Botulinum Toxin's and Orthotics
Speaker: Michael C. Munin, MD – University Pittsburgh School of Med