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ForwardSpasticity and Movement Disorders IMPACT Initiative (IMproving Patient Assessment and Chemodenervation Treatment
The IMPACT workshop will provide an interactive and comprehensive opportunity to improve your knowledge, confidence, and proficiency in essential aspects of spasticity and movement disorder management. This workshop aims to enhance patient outcomes from chemodenervation procedures by improving participants’ ability to recognize clinical patterns, identify muscle targets, and perform procedures confidently and skillfully, including using ultrasound guidance in these procedures.
For doctors, The Kinesthetic Training Sessions will cover ultrasound scanning and guidance. This will include hands-on ultrasound muscle identification exercises, injection practice with ultrasound phantoms, injection training with anatomical models (ELVIS, ELVIRA, ELISE; DAISEY, SADIE), and toxin “draw up” training. For physical therapists and occupational therapists, a dedicated track will focus on gross and clinical anatomy, with related ultrasound demonstrations, discussion of the principles of chemodenervation, a video example of splinting and casting, and methods for individualizing patient goals and management. All participants will have the opportunity to explore strategies for multidisciplinary care and will participate in the expert-led patient injection demonstrations of ultrasound-guided chemodenervation procedures.
Target Audience
The activity is intended primarily for neurologists, physiatrists, and orthopedic surgeons (residents/fellows /community/academic physicians); nurses, nurse practitioners and physician assistants (working in neurology or PMR practices); physical and occupational therapists (specializing in neurorehabilitation)
Learning Objectives
MD Track
- Describe the clinical presentation, diagnosis, and treatment of patients with cervical dystonia, limb dystonias, and spasticity
- Review the mechanism of action, indications, and clinical application of botulinum neurotoxin (BoNT) herapy in patients with cervical dystonia, limb dystonias, and spasticity
- Identify the indications and unique dosing requirements of the current BoNTs for the treatment of cervical dystonia, limb dystonias, and spasticity
- Demonstrate guidance techniques for the safe and effective injection of BoNT in patients with cervical dystonia, limb dystonias, and spasticity
- Identify sonoacoustic anatomical features of cervical and limb muscles, nerves, and other structures using ultrasound guidance to improve the safety and accuracy of BoNT injections
- Develop strategies for individualizing therapy and assisting patients with cervical dystonia, limb dystonias, and spasticity in achieving their functional goals
PT/OT Track
- Recognize common patterns of muscle overactivity (MoA) that occur in patients with upper motor neuron syndrome and dystonia
- Identify when patients with MoA should be referred for treatment (problematic MoA)
- Recognize the importance of patient evaluation, collaborative care, and setting patient-specific goals on treatment outcomes
- Demonstrate appropriate manual therapy, splinting, and casting techniques to enhance patient selection for and maximize functional outcomes in the post chemodenervation setting
- Integrate strategies to individualize functional goals considering varying types of patient scenarios
- Review the potential utility of ultrasound in management of upper and lower limb dystonias
Commercial Support
This activity is supported from an independent medical education grant from XX.
Gemayaret Alvarez
Yeva Fernandez, MD
Kelsey Garcia, PT, DPT, NCS, CSRS
Henry Moore, MD
Laura Wiggs
In support of improving patient care, this activity has been planned and implemented by AKH Inc., Advancing Knowledge in Healthcare and Catalyst. AKH Inc., Advancing Knowledge in Healthcare is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 8 Interprofessional Continuing Education (IPCE) credit for learning and change.
Physicians
AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 8 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing
Credit being awarded: 8 ANCC contact hours
Physician Associates
AKH Inc., Advancing Knowledge in Healthcare has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 8 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Available Credit
- 8.00 AAPA Category 1 CME
- 8.00 AMA PRA Category 1 Credit™
- 8.00 ANCC
- 8.00 Attendance