Access to Focal Spasticity Care: A Cross Canada Survey of Physiatrists. (4th November 2020)

• Record Type: Journal Article
• Authors: Liang, Kevin E.; Ngo, Pham Vivian; Winston, Paul
• Is Part Of: Canadian journal of neurological sciences. Volume 47:Number 6(2020)
• Page Start: 834
• Page End: 838
• Publication Date: 2020-11-04
• Subjects: Spasticity, -- Neuromuscular disorders; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Electronic journals; 616.8
• DOI: 10.1017/cjn.2020.108
• Languages: English
• ISSNs: 0317-1671

Abstract

ABSTRACT: Successful management of focal spasticity requires access to botulinum toxin type A (BoNT-A) injections, physiotherapy, occupational therapy, and orthoses/bracing. To assess the quality of focal spasticity care across Canada, we sent a survey consisting of 22 questions to physiatrists involved in the management of outpatient spasticity. Thirty-four physiatrists from all 10 provinces responded to the survey. Wait time for BoNT-A treatment averaged 12.7 weeks from time of referral across Canada. More than 75% of patients faced barriers to obtaining physical therapy and orthoses. Access to best quality care for spasticity patients across Canada varies widely.