Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_8EEF0C15B7BA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool.
Journal
Toxins
Author(s)
Jacinto J., Balbert A., Bensmail D., Carda S., Draulans N., Deltombe T., Ketchum N., Molteni F., Reebye R.
ISSN
2072-6651 (Electronic)
ISSN-L
2072-6651
Publication state
Published
Issued date
29/11/2023
Peer-reviewed
Oui
Volume
15
Number
12
Pages
676
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The objective of this article is to introduce the GO-FAST Tool (developed by the Toxnet group) to clinicians working in the field of neurological rehabilitation, specifically post-stroke spasticity management. The concepts utilized in the Tool and described in this article can be broadly grouped into five topics: the principles of patient-centred goal-setting; an algorithm for setting SMART (specific, measurable, attainable, realistic, and timed) treatment goals; goal-related target muscles and botulinum toxin type A dose determinants; goal attainment follow-up, scoring, and interpretation; and the multimodal approach to spasticity management. The Tool can enhance clinical practice by providing guided assistance with goal-setting and target muscle selection for botulinum toxin type A treatment. It also provides support with the follow-up evaluation of goal attainment and calculation of treatment success. The Tool is designed to be used by clinicians with varying levels of expertise in the field of neurological rehabilitation and post-stroke spasticity management, from those who are new to the field to those with many years of experience. A case study is presented in the Results Section of the article to illustrate the utility of the Tool in setting SMART treatment goals in the management of patients with post-stroke spasticity.
Keywords
Humans, Botulinum Toxins, Type A/therapeutic use, Neuromuscular Agents/therapeutic use, Goals, Upper Extremity, Muscle Spasticity/drug therapy, Muscle Spasticity/rehabilitation, Stroke/complications, Stroke/drug therapy, Treatment Outcome, Muscles, GAS, GO-FAST, SMART treatment goals, goal-setting
Pubmed
Web of science
Open Access
Yes
Create date
10/01/2024 11:11
Last modification date
09/08/2024 15:02
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