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Anatomical Localization of Motor Points in Gastrocnemius Muscle and Its Significance in the Treatment of Spasticity

Muthuchitra1, Nazmeen Silotry2 and Geetha K N2
1 Tutor, Department of Anatomy, Terana Medical College, Navi Mumbai, India.
2 Associate Professor, Department of Anatomy, MGM Medical College, MGM UHS, Navi Mumbai, India.
Abstract—Spasticity of ankle plantar flexor and the foot invertor are frequently seen in patients with central nervous system disorders and are often disabling. Aim of this study was to identify the anatomic localization of motor points in Gastrocnemius muscle in relation to the bony landmark. The objective of the present study is to describe the distribution and branching pattern of motor nerve and motor points that innervate the gastrocnemius. Thirty lower limb specimens were dissected for morphometric measurements. The tibial nerve was identified and the branch to the gastrocnemius muscle exposed. The distances from the line joining both the epicondyle of the femur to medial motor branch and from the branching point of medial motor branch to the motor point were noted and it was 14.13 ± 11.47 mm and 36.87 ± 14.35 mm respectively. The distances from the line joining both the epicondyle of the femur to lateral motor branch and from the branching point of medial motor branch to the motor point were noted and it was 19.47 ±  20.28mm and 34.03 ± 9.47mm respectively. The angle between the tibial nerve and the nerves to each of medial and lateral heads of the gastrocnemius muscle were 8.80 ± 1.39 and 9.66  ± 1.78 respectively.

Index Terms—Gastrocnemius, Anatomy, Motor point, Motor branch, Spasticity

Cite: Muthuchitra, Nazmeen Silotry and Geetha K N, "Anatomical Localization of Motor Points in Gastrocnemius Muscle and Its Significance in the Treatment of Spasticity," International Journal of Pharma Medicine and Biological Sciences, Vol. 2, No. 2, pp. 6-11, April 2013.
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