{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:51:43Z","timestamp":1787727103876,"version":"build-2784847793"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ipsen Australia"},{"name":"Australian Postgraduate Award"},{"name":"George Burniston Cumberland Foundation Fellowship"},{"name":"Helga Pettitt Faculty of Health Sciences Postgraduate Study Award"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTJR: Occupational Therapy Journal of Research"],"abstract":"<jats:p>Challenges remain in measuring functional upper limb (UL) outcomes following Botulinum Toxin A (BTX-A) injections for muscle spasticity. Few measures exist to evaluate personally meaningful UL performance. The Upper Limb Performance Assessment (ULPA) is an observer-rated measure using patient-centred and selected tasks in real-world conditions. This multicentre, pre\/post observational study examined the ULPA\u2019s ability to measure motor function of adults with UL spasticity following acquired brain injury on self-selected goals. The ULPA detected change in UL functional use for self-selected goals, with improved Task Performance Mastery and reduced Excessive and Missing task-specific movements. This corresponded with an increased number of Expected movements for the task. ULPA sub-measures correlated with goal attainment as measured by Goal Attainment Scaling. The ULPA, a skilled clinical observation measure, can detect change in functional UL performance following BTX-A injection in adults with acquired brain injury.<\/jats:p>","DOI":"10.1177\/15394492261435538","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T06:42:01Z","timestamp":1776408121000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Self-Selected Goal Attainment Following Botulinum Toxin A Injections: Upper Limb Performance Assessment"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4735-6808","authenticated-orcid":false,"given":"Hannah L. 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