i wanna ask how should i strech the gastrocnemius after the botulin toxin (or if i have to strech it or not)was administrated(in the gastrocnemius muscle)...its about a boy 4 years old diagnosed with asimetric quadruplegia(right side more affected)...i just saw him once and i can tell that he walks, with whole feet on the ground...hip flexion is a little short...his parents told me that he used to walk on his toes before he had the botulin toxin...
...so i thought that i should improve dorsiflexion and strenghten the anterior muscles of the leg(like anterior tibialis and fibularis)...for that i made him walk upwards like on an inclined surface ...i also thoufght about improving hip flexion with like climbing stairs, walking over an obstacle...
...i would apreciate any other suggestions...oh another thing, he had the toxin 4 weeks ago...ty

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