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ISPRM 2022

The Toxnet group delivered a symposium on 4 July 2022 at the ISPRM congress called, ‘Peer Exchange on Challenges in Spasticity Management’.

The meeting was led by Toxnet co-chairs, Gerard Francisco and Thierry Deltombe and focused on the recently-published, ‘Comprehensive Curriculum on Spasticity Assessment and management’ that had been developed by the Toxnet group. A previous needs assessment survey of 55 international spasticity experts and trainers had assessed the adequacy of physician training in their local residency programs across 25 spasticity topics and identified key areas of unmet educational requirements. The Toxnet Curriculum was developed to address those topics relating to spasticity management: assessment; goal-setting; non-surgical and surgical management approaches; trouble-shooting.

Watch the video


Nathalie Draulans provided an overview of the Curriculum content and then other Toxnet members, Monica Verduzco-Gutierrez, Rajiv Reebye and Jörg Wissel demonstrated the practical use of the Curriculum, including goal-setting and trouble-shooting, through discussion of a clinical case addressing pain with shoulder spasticity.


The session was very well attended, with a lot of interest from the audience and commendations for the great achievement. 

  1. Deltombe T, Francisco GE. Comprehensive curriculum on spasticity assessment and management. J Int Soc Phys Rehabil Med 2022;5:S1-60

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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 spasticity patients managed per month
  • Environment and clinical team (type of institution, location, size/structure of clinical team, particular patient needs)
  • 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
  • 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 presentations at 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.