Ergonomic Recommendations in Ultrasound-Guided Botulinum Neurotoxin Chemodenervation for Spasticity: An International Expert Group Opinion
department or school: Medicine, Faculty of
department or school: Non UBC
department or school: Medicine, Department of
data provider: DSpace
identifier citation: Toxins 13 (4): 249 (2021)
creator: Lagnau, Philippe
creator: Lo, Alto
creator: Sandarage, Ryan
creator: Alter, Katharine
creator: Picelli, Alessandro
creator: Wissel, Jorg
creator: Verduzco-Gutierrez, Monica
creator: Suputtitada, Areerat
creator: Munin, Michael C.
creator: Carda, Stefano
creator: Khan, Omar
creator: Koçer, Serdar
creator: Reebye, Rajiv
issued: 2021-04-28T19:40:32Z
issued: 2021-03-31
description: Ultrasound (US)-guided botulinum neurotoxin (BoNT) injections are becoming a mainstay in the treatment of muscle spasticity in upper motor neuron syndromes. As a result, there has been a commensurate increase in US-guided BoNT injection for spasticity training courses. However, many of these courses do not emphasize the importance of ergonomics. This paper aims to highlight the importance of ultrasound ergonomics and presents ergonomic recommendations to optimize US-guided BoNT injection techniques in spasticity management. Expert consensus opinion of 11 physicians (4 different continents; representing 8 countries, with an average of 12.6 years of practice using US guidance for BoNT chemodenervation (range 3 to 22 years)). A search using PubMed, College of Physicians and Surgeons of British Columbia database, EMbase was conducted and found no publications relating the importance of ergonomics in US-guided chemodenervation. Therefore, recommendations and consensus discussions were generated from the distribution of a 20-question survey to a panel of 11 ultrasound experts. All 11 surveyed physicians considered ergonomics to be important in reducing physician injury. There was complete agreement that physician positioning was important; 91% agreement that patient positioning was important; and 82% that ultrasound machine positioning was important. Factors that did not reach our 80% threshold for consensus were further discussed. Four categories were identified as being important when implementing ultrasound ergonomics for BoNT chemodenervation for spasticity; workstation, physician, patient and visual ergonomics. Optimizing ergonomics is paramount when performing US-guided BoNT chemodenervation for spasticity management. This includes proper preparation of the workspace and allowing for sufficient pre-injection time to optimally position both the patient and the physician. Lack of awareness of ergonomics for US-guided BoNT chemodenervation for spasticity may lead to su…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/78030
note: toxinsOpinionErgonomic Recommendations in Ultrasound-GuidedBotulinum Neurotoxin Chemodenervation for Spasticity:An International Expert Group OpinionPhilippe Lagnau 1,2, Alto Lo 2,3, Ryan Sandarage 2,4 , Katharine Alter 5 , Alessandro Picelli 6 , Jorg Wissel 7,Monica Verduzco-Gutierrez 8, Areerat Suputtitada 2,9 , Michael C. Munin 10, Stefano Carda 2,11, Omar Khan 2,12,Serdar Koçer 13 and Rajiv Reebye 1,2,4,14,*Citation: Lagnau, P.; Lo, A.;Sandarage, R.; Alter, K.; Picelli, A.;Wissel, J.; Verduzco-Gutierrez, M.;Suputtitada, A.; Munin, M.C.;Carda, S.; et al. ErgonomicRecommendations in Ultrasound-Guided Botulinum NeurotoxinChemodenervation for Spasticity:An International Expert GroupOpinion. Toxins 2021, 13, 249.https://doi.org/10.3390/toxins13040249Received: 22 February 2021Accepted: 30 March 2021Published: 31 March 2021Publisher’s Note: MDPI stays neutralwith regard to jurisdictional claims inpublished maps and institutional affil-iations.Copyright: © 2021 by the authors.Licensee MDPI, Basel, Switzerland.This article is an open access articledistributed under the terms andconditions of the Creative CommonsAttribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).1 GF Strong Rehabilitation Centre, Vancouver, BC V5Z 2G9, Canada; philippe.lagnau@aphp.fr2 Canadian Advances in Neuro-Orthopedics for Spasticity Congress (CANOSC), Kingston,ON K7K 1Z6, Canada; aslo@ualberta.ca (A.L.); ryan.sandarage@alumni.ubc.ca (R.S.);prof.areerat@gmail.com (A.S.); stefano.carda@gmail.com (S.C.); omar.khan@hoteldieushaver.org (O.K.)3 Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, AB T6G 2R3, Canada4 Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada5 Functional and Applied Biomechanics Section, Rehabilitation Medicine, Clinical Center, National Institutes ofHealth, Bethesda, MD 20892, USA; kalter@cc.nih.gov6 Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona,37134 Verona,…
has type: Article
is shown at: 10.14288/1.0396993
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: Multidisciplinary Digital Publishing Institute
publisher DOI: 10.3390/toxins13040249
rights: CC BY 4.0
rights URI: https://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: ergonomics
subject: ultrasound-guided
subject: chemodenervation
subject: botulinum neurotoxin
subject: muscle spasticity
type: Text
identifier URI: http://hdl.handle.net/2429/78030