Treatment diary for botulinum toxin spasticity treatment: a pilot study

International Journal of Rehabilitation Research, 2017 · DOI: 10.1097/MRR.0000000000000221 · Published: January 24, 2017

Pharmacology Neurology Rehabilitation

Simple Explanation

This study aimed to develop a treatment diary for patients undergoing spasticity treatment, including botulinum toxin injections and physiotherapy or occupational therapy. The diary helps track problems caused by muscle overactivity, treatment goals, and patient self-evaluation. The diary includes patient self-evaluation using the Goal Attainment Scale, therapists’ evaluation of objectives, and suggestions for treatment optimization. Patient satisfaction and quality of life were also assessed. Ten patients participated in the pilot study and found the diary helpful in setting goals and increasing involvement in their treatment. However, no significant improvement in their quality of life was reported.

Study Duration

~ 3-month period

Participants

10 patients receiving spasticity treatment

Evidence Level

Pilot study

Key Findings

1
Patients found the treatment diary helpful in becoming more involved in their treatment.
2
The diary made it easier for patients to set personal goals for their treatment.
3
Patients generally found the time spent using the diary worthwhile.

Research Summary

This pilot study aimed to develop a treatment diary for patients receiving botulinum toxin injections and physiotherapy for spasticity. The diary focused on problems caused by muscle overactivity, treatment goals, and patient self-evaluation of goal achievement. Ten patients participated in the study, and the results indicated that the diary increased patient involvement and facilitated goal setting. However, the study did not find a significant improvement in the patients' quality of life. The authors conclude that the treatment diary has the potential to increase patient awareness and improve treatment evaluation, leading to better goal setting and increased patient empowerment. A revised version of the diary is currently being evaluated.

Practical Implications

Enhanced Patient Involvement

The treatment diary can be used to enhance patient involvement in their spasticity treatment, leading to better treatment outcomes.

Improved Goal Setting

Using the diary can facilitate the setting of more appropriate and achievable treatment goals for patients with spasticity.

Facilitated Communication

The treatment diary may lead to a closer collaboration between physiotherapists, occupational therapists, and physicians.

Study Limitations

1
Small sample size (10 patients).
2
No clear advantage in relation to their quality of life was reported.
3
Some patients and therapists reported misunderstandings in completing the diary.

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