Abstract
BACKGROUND AND OBJECTIVE: This retrospective study analyses the goal assessment of the treatment of spasticity. The indications for and the achievement of the goal of botulinum toxin injections were compared to orthopedic procedures and others.
METHODS: A database was created from the patients' medical files. The efficiency of treatment was then evaluated using the improvement in the sub-goals of the International Classification of Functioning, Disability and Health (ICF): pain (B280-B289), function of the joints and bones (B710-B729), improvement of mobility (D450-DN83) and personal maintenance (D510-D599). The results are discussed after a literature review.
RESULTS: The botulinum toxin injection was more common than orthopedic procedures. Orthopedic procedures showed a tendency to be more efficient regarding the improvement in ICF objectives.
CONCLUSIONS: This study was unable to prove a statistically significant difference between botulinum toxin and orthopedic procedure regarding ICF objectives due to the number of subjects being too small. But it showed that 83.4% of patients were treated by botulinum toxin before surgery and only operated in the case of failed goal-achievement. The surgery then enabled the goal to be achieved. This systematic goal assessment is necessary in order to understand better the efficiency of the management of spasticity treatment methods.