Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool
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 int...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-11-01
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| Series: | Toxins |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6651/15/12/676 |
| _version_ | 1797379255820091392 |
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| author | Jorge Jacinto Alexander Balbert Djamel Bensmail Stefano Carda Nathalie Draulans Thierry Deltombe Nicholas Ketchum Franco Molteni Rajiv Reebye |
| author_facet | Jorge Jacinto Alexander Balbert Djamel Bensmail Stefano Carda Nathalie Draulans Thierry Deltombe Nicholas Ketchum Franco Molteni Rajiv Reebye |
| author_sort | Jorge Jacinto |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T20:19:32Z |
| format | Article |
| id | doaj.art-e2313923f52144b988ab6cf49e90d27f |
| institution | Directory Open Access Journal |
| issn | 2072-6651 |
| language | English |
| last_indexed | 2024-03-08T20:19:32Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Toxins |
| spelling | doaj.art-e2313923f52144b988ab6cf49e90d27f2023-12-22T14:46:14ZengMDPI AGToxins2072-66512023-11-01151267610.3390/toxins15120676Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) ToolJorge Jacinto0Alexander Balbert1Djamel Bensmail2Stefano Carda3Nathalie Draulans4Thierry Deltombe5Nicholas Ketchum6Franco Molteni7Rajiv Reebye8Alcoitão Medical Rehabilitation Centre, Rua Conde Barão, 2649-506 Alcabideche, PortugalDepartment of Adaptive Physical Training, Ural University of Physical Education, Sverdlovsk Regional Hospital for War Veterans, 620014 Yekaterinburg, RussiaDepartment of Physical and Rehabilitation Medicine, Raymond-Poincaré Teaching Hospital, APHP, Université Paris-Saclay, 92380 Garches, FranceDepartment of Clinical Neurosciences, Service of Neuropsychology and Neurorehabilitation, Lausanne University Hospital (CHUV), 1011 Lausanne, SwitzerlandDepartment of Rehabilitation, Libra Rehabilitation and Audiology, 5022 KE Tilburg, The NetherlandsDepartment of Physical Medicine and Rehabilitation, Université Catholique de Louvain, Centre Hospitalier Universitaire de Namur, Godinne Site, Avenue Docteur G Therasse, 5530 Yvoir, BelgiumDepartment of Physical Medicine and Rehabilitation, Medical College of Wisconsin, 9200 W., Milwaukee, WI 53226, USAVilla Beretta Rehabilitation Center, Valduce Hospital, 23845 Costa Masnaga, ItalyDepartment of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC V5Z 2G9, CanadaThe 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.https://www.mdpi.com/2072-6651/15/12/676GASgoal-settingGO-FASTSMART treatment goals |
| spellingShingle | Jorge Jacinto Alexander Balbert Djamel Bensmail Stefano Carda Nathalie Draulans Thierry Deltombe Nicholas Ketchum Franco Molteni Rajiv Reebye Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool Toxins GAS goal-setting GO-FAST SMART treatment goals |
| title | Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool |
| title_full | Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool |
| title_fullStr | Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool |
| title_full_unstemmed | Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool |
| title_short | Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool |
| title_sort | selecting goals and target muscles for botulinum toxin a injection using the goal oriented facilitated approach to spasticity treatment go fast tool |
| topic | GAS goal-setting GO-FAST SMART treatment goals |
| url | https://www.mdpi.com/2072-6651/15/12/676 |
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