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Comprehensive Curriculum on Spasticity Assessment and Management (2022)

This series of articles provides a blueprint for a comprehensive training course covering the management of spasticity. The four different modules cover:

  • Module 1: Pathophysiology and Assessment; Goal Setting. Covering the underlying pathophysiology of spasticity and identifying the muscles involved and the extent of that involvement. The importance of patient involvement and goal setting is considered as well as the best tools for patient assessment
  • Module 2: Nonsurgical Management. Covering the most commonly used drugs and interventions. The optimal use of baclofen or botulinum toxin A (BoNT-A) and suitable adjunctive therapies are included in detail
  • Module 3: Surgical Management. Covering patient selection for surgery and the appropriate surgical techniques to employ
  • Module 4: Optimizing Outcomes. A helpful troubleshooting guide, which provides practical algorithms for assessing the reasons behind suboptimal with treatment oral drugs, alcohol/phenol, intrathecal baclofen, or BoNT-A.

View the manuscript

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Award scoring criteria

The following criteria will be judged out of a score of 5; (1 is suboptimal; 2 is adequate; 3 is good; 4 is very good; 5 is excellent)

GENERAL

  • Days per week working in spasticity management
  • Average number of unique spasticity patient encounters per month (by the individual)
  • Description of spasticity clinical team & management activities and (numbers, specialities etc)
  • Role of responsibility in managing patients with spasticity
  • Scientific appointments in spasticity
  • Honours for work undertaken in spasticity

SCHOLARLY

  • Number of research projects investigating relevant aspects of spasticity management (involvement)
  • Impact of research projects investigating relevant aspects of spasticity management
  • Number of peer-reviewed publications on topic
    Number of presentations of research at international meetings
  • Number of posters/presentations at local and national conferences
  • Teaching/mentorship of younger injectors
  • h-index

CLINICAL

  • Evidence of development or growth of a spasticity program at the applicant’s practice or institution
  • Breadth of services provided, including medications, toxins, physical interventions, and Intrathecal Baclofen Therapy (ITB)
  • Role of responsibility in managing patients with spasticity

ENDORSEMENT

  • Endorsed by senior peer

In the event of a tie, based on the above scoring criteria, the Toxnet Co-Chairs will make the final decision.