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Motor branch block of the rectus femoris: its effectiveness in stiff-legged gait in spastic paresis.
Intervention: Motor branch block of the rectus femoris with 2% lidocaine and 5% phenol.
Conclusion: Motor branch block of the rectus femoris can be an effective treatment in stiff-legged gait.
Objective: To verify the efficacy of motor branch block of the rectus femoris for stiff-legged gait in spastic patients.
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To determine the effect of motor branch block (MBB) or neuromuscular block (NMB) of the rectus femoris on knee kinematics during swing, functional outcome, and energy cost in adults with spastic paresis presenting a stiff knee gait.
After subcostal TAP block, the rectus muscle was imaged with the ultrasound probe on the level of the umbilicus and the needle was advanced to the posterior rectus sheath, and 10 mL of levobupivacaine was administered.
Therefore, we performed ultrasound-guided para-umbilical block to administer the local anesthetic on the posterior lobe of the rectus sheath and in subcutaneous tissue around the umbilicus in a fan-shaped fashion.
Motor branch of the rectus femoris: anatomic location for selective motor branch block in stiff-legged gait.
The superior oblique muscle arises near the rim of the optic foramen and somewhat nearer the nose than the origin of the rectus medialis.
The fascia of the rectus muscles is thin posteriorly but becomes thick as the muscles approach the eye.
Violation of the rectus abdominis complex is considered a contraindication for CS, but we hypothesized that patients have similar outcomes with or without rectus complex violation.
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