Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Goal attainment for spasticity management using botulinum toxin.

Stephen Ashford1, Lynne Turner-Stokes

  • 1Regional Rehabilitation Unit, Northwick Park Hospital, London, UK. Stephen.Ashford@nwlh.nhs.uk

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
|April 6, 2006
PubMed
Summary

Goal Attainment Scaling (GAS) effectively measures functional gains after botulinum toxin (BTX) injections for spasticity in severely disabled patients, proving more sensitive than the Barthel Index.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Redefining Spasticity: The Spasticity X Working Group Consensus Statement.

American journal of physical medicine & rehabilitation·2026
Same author

Quality of Life Assessment Using the Leg Activity Measure in Ambulatory Individuals With Leg Spasticity: Findings From a Longitudinal, Observational Study Evaluating the Effectiveness of AbobotulinumtoxinA in Routine Practice.

Archives of rehabilitation research and clinical translation·2026
Same author

Use and impact of assistive devices in activities of daily living among adults with advanced respiratory disease: a secondary data analysis.

Disability and rehabilitation. Assistive technology·2026
Same author

Evolution of goal setting and attainment over repeated cycles of botulinum toxin A for upper limb spasticity in real-life clinical practice: longitudinal analyses from the observational ULIS-III cohort study.

Journal of rehabilitation medicine·2026
Same author

Predicting the outcome of specialist rehabilitation after non-traumatic subarachnoid haemorrhage: a multicentre cohort analysis from the UK Rehabilitation Outcomes Collaborative (UKROC) database.

BMJ neurology open·2026
Same author

Longitudinal, Multi-Cycle Evaluation of Passive Function Improvement in People with Arm Spasticity Treated with Botulinum Toxin A.

Toxins·2026

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Outcomes Assessment

Background:

  • Spasticity management in severely disabled patients often requires objective functional outcome measures.
  • Botulinum toxin (BTX) injections are a common treatment for spasticity.
  • Assessing functional gains post-BTX can be challenging with standard tools.

Purpose of the Study:

  • To evaluate the utility of Goal Attainment Scaling (GAS) in quantifying functional improvements after BTX treatment for spasticity.
  • To compare the sensitivity of GAS with traditional outcome measures.

Main Methods:

  • Retrospective analysis of 18 patients with acquired brain injuries receiving BTX for spasticity.
  • Patients categorized as responders or non-responders based on clinical outcomes.

Related Experiment Videos

  • GAS scores calculated for functional goals and compared with Barthel Index scores.

    • Main Results:

    • GAS scores were significantly higher in the responder group compared to non-responders (p=0.011).
    • Change in GAS scores also significantly differed between groups (p=0.004).
    • GAS scores correlated with focal outcome measures, while the Barthel Index showed limited change detection.

    Conclusions:

    • Goal Attainment Scaling (GAS) demonstrates preliminary support as a valuable tool for measuring functional gains post-BTX treatment.
    • GAS appears more sensitive in detecting functional changes than the Barthel Index in this patient population.