Cargando…
Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey
Spasticity of the upper extremity can result in severe pain, along with many complications that can impair a patient’s activities of daily living. Failure to treat patients with spasticity of the upper limb can result in a decrease in the range of motion of joints and contracture development, leadin...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866374/ https://www.ncbi.nlm.nih.gov/pubmed/36668878 http://dx.doi.org/10.3390/toxins15010058 |
_version_ | 1784876074436395008 |
---|---|
author | Kassam, Farris Lim, Brendan Afroz, Sadia Boissonnault, Ève Reebye, Rajiv Finlayson, Heather Winston, Paul |
author_facet | Kassam, Farris Lim, Brendan Afroz, Sadia Boissonnault, Ève Reebye, Rajiv Finlayson, Heather Winston, Paul |
author_sort | Kassam, Farris |
collection | PubMed |
description | Spasticity of the upper extremity can result in severe pain, along with many complications that can impair a patient’s activities of daily living. Failure to treat patients with spasticity of the upper limb can result in a decrease in the range of motion of joints and contracture development, leading to further restriction in daily activities. We aimed to investigate the practice patterns of Canadian physicians who utilize Botulinum toxin type-A (BoNT-A) injections in the management of shoulder spasticity. 50 Canadian Physical Medicine and Rehabilitation (PM&R) physicians completed a survey with an estimated completion rate of (36.23%). The demographics of the survey participants came from a variety of provinces, clinical settings, and patient populations. The most common muscle injected for shoulder adduction and internal rotation spasticity was the pectoralis major, this was followed by latissimus dorsi, pectoralis minor, subscapularis and teres major. Injection of BoNT-A for problematic post-stroke shoulder spasticity was common, with (81.48%) of participants responding that it was always or often used in their management of post-stroke spasticity (PSS). Dosing of BoNT-A demonstrated variability for the muscle injected as well as the type of toxin used. The goals of the patients, caregivers, and practitioners were used to help guide the management of these patients. As a result, the practice patterns of Canadian physicians who treat shoulder spasticity are varied, due to numerous patient factors. Future studies are needed to analyze optimal treatment patterns, and the development of algorithms to standardize care. |
format | Online Article Text |
id | pubmed-9866374 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98663742023-01-22 Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey Kassam, Farris Lim, Brendan Afroz, Sadia Boissonnault, Ève Reebye, Rajiv Finlayson, Heather Winston, Paul Toxins (Basel) Article Spasticity of the upper extremity can result in severe pain, along with many complications that can impair a patient’s activities of daily living. Failure to treat patients with spasticity of the upper limb can result in a decrease in the range of motion of joints and contracture development, leading to further restriction in daily activities. We aimed to investigate the practice patterns of Canadian physicians who utilize Botulinum toxin type-A (BoNT-A) injections in the management of shoulder spasticity. 50 Canadian Physical Medicine and Rehabilitation (PM&R) physicians completed a survey with an estimated completion rate of (36.23%). The demographics of the survey participants came from a variety of provinces, clinical settings, and patient populations. The most common muscle injected for shoulder adduction and internal rotation spasticity was the pectoralis major, this was followed by latissimus dorsi, pectoralis minor, subscapularis and teres major. Injection of BoNT-A for problematic post-stroke shoulder spasticity was common, with (81.48%) of participants responding that it was always or often used in their management of post-stroke spasticity (PSS). Dosing of BoNT-A demonstrated variability for the muscle injected as well as the type of toxin used. The goals of the patients, caregivers, and practitioners were used to help guide the management of these patients. As a result, the practice patterns of Canadian physicians who treat shoulder spasticity are varied, due to numerous patient factors. Future studies are needed to analyze optimal treatment patterns, and the development of algorithms to standardize care. MDPI 2023-01-10 /pmc/articles/PMC9866374/ /pubmed/36668878 http://dx.doi.org/10.3390/toxins15010058 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kassam, Farris Lim, Brendan Afroz, Sadia Boissonnault, Ève Reebye, Rajiv Finlayson, Heather Winston, Paul Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey |
title | Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey |
title_full | Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey |
title_fullStr | Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey |
title_full_unstemmed | Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey |
title_short | Canadian Physicians’ Use of Intramuscular Botulinum Toxin Injections for Shoulder Spasticity: A National Cross-Sectional Survey |
title_sort | canadian physicians’ use of intramuscular botulinum toxin injections for shoulder spasticity: a national cross-sectional survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866374/ https://www.ncbi.nlm.nih.gov/pubmed/36668878 http://dx.doi.org/10.3390/toxins15010058 |
work_keys_str_mv | AT kassamfarris canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey AT limbrendan canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey AT afrozsadia canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey AT boissonnaulteve canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey AT reebyerajiv canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey AT finlaysonheather canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey AT winstonpaul canadianphysiciansuseofintramuscularbotulinumtoxininjectionsforshoulderspasticityanationalcrosssectionalsurvey |