{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:37:05Z","timestamp":1761007025289,"version":"build-2065373602"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Due to its heterogeneous manifestation an individualized approach to reach therapeutic goals in cervical dystonia (CD) is advantageous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the current study was to adapt goal attainment scaling (GAS) to drive the management of CD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>38 patients with CD, regularly treated with botulinum neurotoxin (BoNT), were involved in the current exploratory observational pilot study. GAS, including domains of motor, pain, disability, and psychiatric features, was applied to set up individualized goals with the calculation of initial GAS T\u2010scores. Following at least 4 BoNT injection cycles, patients were reassessed whether they reached the pre\u2010set goals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The initial GAS T\u2010scores (median: 36.9, range: 22.8\u201340) significantly improved (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) to the end of the study (the median of final GAS T\u2010scores: 50, range: 25.5\u201363.6).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The applicability of GAS in CD patients was confirmed, but further large\u2010scale studies are needed refining this innovative approach.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mdc3.14118","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T05:15:55Z","timestamp":1717391755000},"page":"1013-1017","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Application of Goal Attainment Scaling in Cervical Dystonia \u2013 An Exploratory Observational Pilot Study"],"prefix":"10.1002","volume":"11","author":[{"given":"M\u00e1t\u00e9","family":"Szab\u00f3","sequence":"first","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"},{"name":"Department of Neurology Elbe Klinik Stade  Stade Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"G\u00e1rdi\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Szpisjak","sequence":"additional","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Salamon","sequence":"additional","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8099-7404","authenticated-orcid":false,"given":"Tam\u00e1s","family":"G\u00e1bor","sequence":"additional","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Kliv\u00e9nyi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0749-7980","authenticated-orcid":false,"given":"D\u00e9nes","family":"Z\u00e1dori","sequence":"additional","affiliation":[{"name":"Department of Neurology, Albert Szent\u2010Gy\u00f6rgyi Clinical Centre, Albert Szent\u2010Gy\u00f6rgyi Faculty of Medicine University of Szeged  Szeged Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.29387"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2015.05.054"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000568"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.12172"},{"issue":"365","key":"e_1_2_8_6_1","first-page":"1","article-title":"The role of ultrasound for the personalized botulinum toxin treatment of cervical dystonia","volume":"13","author":"Fietzek UM","year":"2021","journal-title":"Toxins (Basel)"},{"issue":"1292","key":"e_1_2_8_7_1","first-page":"1","article-title":"Botulinum toxin type a with or without needle electromyographic guidance in patients with cervical dystonia","volume":"5","author":"Wu 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classification","volume":"10","author":"Pandey S","year":"2020","journal-title":"Tremor Other Hyperkinet Mov (N Y)"},{"issue":"10745","key":"e_1_2_8_23_1","first-page":"1","article-title":"Genetic screening of a Hungarian cohort with focal dystonia identified several novel putative pathogenic gene variants","volume":"24","author":"Salamon A","year":"2023","journal-title":"Int J Mol Sci"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-019-04061-5"}],"container-title":["Movement Disorders Clinical 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