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Spasticity Management Teams, Evaluations, and Tools: A Canadian Cross-Sectional Survey.
Mills, Patricia B; Phadke, Chetan P; Boulias, Chris; Dukelow, Sean P; Ismail, Farooq; McNeil, Stephen M; Miller, Thomas A; O'Connell, Colleen M; Reebye, Rajiv N; Satkunam, Lalith E; Wein, Theodore H; Winston, Paul J.
Afiliação
  • Mills PB; Division of Physical Medicine & Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Phadke CP; GF Strong Rehab Centre, Vancouver, British Columbia, Canada.
  • Boulias C; International Collaboration on Repair Discoveries (ICORD), Vancouver, British Columbia, Canada.
  • Dukelow SP; Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
  • Ismail F; Spasticity Research Program, West Park Healthcare Centre, Toronto, Ontario, Canada.
  • McNeil SM; Spasticity Research Program, West Park Healthcare Centre, Toronto, Ontario, Canada.
  • Miller TA; Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada.
  • O'Connell CM; Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
  • Reebye RN; Foothills Medical Centre, Calgary, Canada.
  • Satkunam LE; Spasticity Research Program, West Park Healthcare Centre, Toronto, Ontario, Canada.
  • Wein TH; Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada.
  • Winston PJ; Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Can J Neurol Sci ; 50(6): 876-884, 2023 Nov.
Article em En | MEDLINE | ID: mdl-36408628
ABSTRACT

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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Texto completo: 1 Bases de dados: MEDLINE Tipo de estudo: Prevalence_studies Idioma: En Revista: Can J Neurol Sci Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Canadá

Texto completo: 1 Bases de dados: MEDLINE Tipo de estudo: Prevalence_studies Idioma: En Revista: Can J Neurol Sci Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Canadá