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|Title:||Therapy influences goal attainment following botulinum neurotoxin injection for focal spasticity in adults with neurological conditions.|
|Epworth Authors:||Moore, Elizabeth|
|Other Authors:||Bryant, Adam|
Goal Attainment Scaling
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Epworth Monash Rehabilitation Unit (EMReM), Epworth HealthCare, Richmond, Victoria, Australia.
|Publisher:||Taylor & Francis|
|Citation:||Brain Inj. 2018 May 2:1-9|
|Abstract:||OBJECTIVE: To determine whether therapy influenced goal attainment following botulinum toxin (BoNT-A) injection for focal spasticity in adults with neurological conditions. METHODS: A prospective observational cohort study conducted in a large metropolitan spasticity clinic on adults with focal spasticity of any origin. Participants were provided with a therapy programme, designed to maximise therapeutic outcome. The primary outcome measure was Goal Attainment Scaling. To measure adherence, participants completed a therapy-recording tool each day. Goal attainment, and the rate of adherence to the therapy programme, was evaluated after 10 weeks. RESULTS: Active indications for BoNT-A treatment made up the majority of the goals (80.30%). Goals were achieved in 43/76 cases (56.60%; 95% CI = 42.40 to 69.80%). Therapy adherence was associated with significantly greater goal attainment (OR = 1.02, p = 0.03, 95% CI = 1.00 to 1.04). Greater adherence to therapy increased the odds of goal achievement for active indications but not for passive indications, suggesting a possible statistical interaction between the indication for injection and adherence to therapy (p < 0.01). CONCLUSION: Therapy adherence was associated with greater goal attainment. Active indications for BoNT-A were more reliant on adherence to prescribed therapy programmes than passive indications, although further investigation is required.|
|Journal Title:||Brain Injury|
|Affiliated Organisations:||Physiotherapy Department , The University of Melbourne , Melbourne , Australia.|
Rehabilitation Medicine , Monash University , Melbourne , Australia.
Department of Epidemiology and Preventive Medicine , Monash University , Melbourne , Australia.
|Type of Clinical Study or Trial:||Prospective Observational Study|
|Appears in Collections:||Neurosciences|
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