LAUSR

Introduction/Background Gait with internal hip rotation is often observed in adult with cerebral palsy both in diplegic and hemiplegic forms. Walking disabilities could be the consequence of gluteus medius anterior fibers spasticity. Material and method A monocentric prospective pilot study was to assess the clinical and paraclinical progression of hip internal rotation, velocity and Functional Ambulation Performance (FAP) score index. We included eight patients (nine hips) with a follow-up to five weeks. Clinical (questionnaire, spasticity) and instrumental (walk on “GAITRite®”) assessments were performed at the beginning and at the end of the study. Results The FAP was significantly higher (10%) after botulinum toxin (80 to 87, P  Conclusion Botulinum toxin improved gait performances in adult with cerebral palsy and gluteus medius anterior fibers spasticity. A randomized prospective multicentric study is required to confirm the preliminary results and to assess the impact of quality of life.