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Communication

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

by
Jorge Jacinto
1,*,
Alexander Balbert
2,
Djamel Bensmail
3,4,
Stefano Carda
5,
Nathalie Draulans
6,
Thierry Deltombe
7,
Nicholas Ketchum
8,
Franco Molteni
9 and
Rajiv Reebye
10
1
Alcoitão Medical Rehabilitation Centre, Rua Conde Barão, 2649-506 Alcabideche, Portugal
2
Department of Adaptive Physical Training, Ural University of Physical Education, Sverdlovsk Regional Hospital for War Veterans, 620014 Yekaterinburg, Russia
3
Department of Physical and Rehabilitation Medicine, Raymond-Poincaré Teaching Hospital, APHP, Université Paris-Saclay, 92380 Garches, France
4
Unité INSERM 1179, University of Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-Le-Bretonneux, France
5
Department of Clinical Neurosciences, Service of Neuropsychology and Neurorehabilitation, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland
6
Department of Rehabilitation, Libra Rehabilitation and Audiology, 5022 KE Tilburg, The Netherlands
7
Department of Physical Medicine and Rehabilitation, Université Catholique de Louvain, Centre Hospitalier Universitaire de Namur, Godinne Site, Avenue Docteur G Therasse, 5530 Yvoir, Belgium
8
Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, 9200 W., Milwaukee, WI 53226, USA
9
Villa Beretta Rehabilitation Center, Valduce Hospital, 23845 Costa Masnaga, Italy
10
Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC V5Z 2G9, Canada
*
Author to whom correspondence should be addressed.
Toxins 2023, 15(12), 676; https://doi.org/10.3390/toxins15120676
Submission received: 19 October 2023 / Revised: 17 November 2023 / Accepted: 23 November 2023 / Published: 29 November 2023
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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: GAS; goal-setting; GO-FAST; SMART treatment goals GAS; goal-setting; GO-FAST; SMART treatment goals
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MDPI and ACS Style

Jacinto, J.; Balbert, A.; Bensmail, D.; Carda, S.; Draulans, N.; Deltombe, T.; Ketchum, N.; Molteni, F.; Reebye, R. Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool. Toxins 2023, 15, 676. https://doi.org/10.3390/toxins15120676

AMA Style

Jacinto J, Balbert A, Bensmail D, Carda S, Draulans N, Deltombe T, Ketchum N, Molteni F, Reebye R. Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool. Toxins. 2023; 15(12):676. https://doi.org/10.3390/toxins15120676

Chicago/Turabian Style

Jacinto, Jorge, Alexander Balbert, Djamel Bensmail, Stefano Carda, Nathalie Draulans, Thierry Deltombe, Nicholas Ketchum, Franco Molteni, and Rajiv Reebye. 2023. "Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool" Toxins 15, no. 12: 676. https://doi.org/10.3390/toxins15120676

APA Style

Jacinto, J., Balbert, A., Bensmail, D., Carda, S., Draulans, N., Deltombe, T., Ketchum, N., Molteni, F., & Reebye, R. (2023). Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool. Toxins, 15(12), 676. https://doi.org/10.3390/toxins15120676

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