Physiotherapy & Physical Rehabilitation

It is easy to use joint range of movement (ROM) as an outcome measure after intervention like botulinum toxin injection (BTI) in the treatment of spasticity. But, it is difficult sometimes to say if that ROM improvement leads to gait improvement. The objective is to sketch grab frames from video capture to assess gait improvement. This is a single case study. Forty-year-old gentleman who is suffering from multiple sclerosis received BTI in calf muscles of both legs in August 2016. Three weeks after the treatment, both ankle dorsiflexion had improved from -10° to neutral. The gentleman was saying there was no change in the way he walked. Sketches (Initial Contact phase & Initial Swing phase) were made from video grab frames before and after BTI. There was improvement in terms of symmetry of trunk (due to less hip hitching) and stride length (due to improve ankle ROM sketching grab frames from the video capture is an effective way of assessing gait improvement and is a good alternative to gait lab and is much cheaper and quicker.