Canadian Physicians' Use of Perioperative Botulinum Toxin Injections to Spastic Limbs: A Cross-sectional National Survey

Kassam, Farris; Saeidiborojeni, Sepehr; Finlayson, Heather; Winston, Paul; Reebye, Rajiv

doi:10.1016/j.arrct.2021.100158

Cited by 1 publication

(3 citation statements)

References 24 publications

(34 reference statements)

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“…A recent 2021 crosssectional study (Kassam, et al) also surveyed Canadian physicians treating spasticity using the CANOSC database that we used for our study. 13 In Kassam's study, 138 Canadian physicians from CANOSC were identified as being directly involved in the treatment of patients with spasticity and 34 (25%) completed their study. 13 In our study, 62 Canadian physicians completed the survey, which represents 45% of the Canadian CANOSC physician members based on Kassam's study.…”

Section: Study Limitationsmentioning

confidence: 99%

“…13 In Kassam's study, 138 Canadian physicians from CANOSC were identified as being directly involved in the treatment of patients with spasticity and 34 (25%) completed their study. 13 In our study, 62 Canadian physicians completed the survey, which represents 45% of the Canadian CANOSC physician members based on Kassam's study. Surveys with relatively low response rates can still be of good quality and validity if the population being surveyed is fairly homogeneous in terms of training and employment, 24 such as is the case in the current study.…”

Section: Study Limitationsmentioning

confidence: 99%

“…A survey of Canadian physicians has been used to assess the commonality of spasticity-related treatment in patients undergoing surgery. 13 Using similar survey methods, this study aimed to determine the composition of the spasticity management team and the physical evaluations and assessment tools used by a group of Canadian healthcare professionals treating adults with spasticity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Spasticity Management Teams, Evaluations, and Tools: A Canadian Cross-Sectional Survey

Mills

Phadke

Boulias

et al. 2022

Can. J. Neurol. Sci.

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Objective: The objective of this study is to determine the physical evaluations and assessment tools used by a group of Canadian healthcare professionals treating adults with spasticity. Methods: A cross-sectional web-based 19-question survey was developed to determine the types of physical evaluations, tone-related impairment measurements, and assessment tools used in the management of adults with spasticity. The survey was distributed to healthcare professionals from the Canadian Advances in Neuro-Orthopedics for Spasticity Congress database. Results: Eighty study participants (61 physiatrists and 19 other healthcare professionals) completed the survey and were included. Nearly half (46.3%, 37/80) of the participants reported having an inter- or trans-disciplinary team managing individuals with spasticity. Visual observation of movement, available range of motion determination, tone during velocity-dependent passive range of motion looking for a spastic catch, spasticity, and clonus, and evaluation of gait were the most frequently used physical evaluations. The most frequently used spasticity tools were the Modified Ashworth Scale, goniometer, and Goal Attainment Scale. Results were similar in brain- and spinal cord-predominant etiologies. To evaluate goals, qualitative description was used most (37.5%). Conclusion: Our findings provide a better understanding of the spasticity management landscape in Canada with respect to staffing, physical evaluations, and outcome measurements used in clinical practice. For all etiologies of spasticity, visual observation of patient movement, Modified Ashworth Scale, and qualitative goal outcomes descriptions were most commonly used to guide treatment and optimize outcomes. Understanding the current practice of spasticity assessment will help provide guidance for clinical evaluation and management of spasticity.

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Section: Study Limitationsmentioning

confidence: 99%