{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:01:17Z","timestamp":1777676477986,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T00:00:00Z","timestamp":1435881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We aimed to develop a goal classification of individualised goals for spasticity treatment incorporating botulinum toxin intervention for upper limb spasticity to under-pin a more structured approach to future goal setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Individualised goals for spasticity treatment incorporating botulinum toxin intervention for upper limb spasticity ( n=696) were analysed initially from four studies published in 2008-2012, spanning a total of 18 centres (12 in the UK and 6 in Australia). Goals were categorised and mapped onto the closest matching domains of the WHO International Classification of Functioning. Confirmatory analysis included a further 927 goals from a large international cohort study spanning 22 countries published in 2013.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Goal categories could be assigned into two domains, each subdivided into three key goal areas: Domain 1: symptoms\/impairment n=322 (46%): a. pain\/discomfort n=78 (11%), b. involuntary movements n=75 (11%), c. range of movement\/contracture prevention n=162 (23%). Domain 2: Activities\/function n=374 (54%): a. passive function (ease of caring for the affected limb) n=242 (35%), b active function (using the affected limb in active tasks) n=84 (12%), c. mobility n=11 (2%). Over 99% of the goals from the large international cohort fell into the same six areas, confirming the international applicability of the classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Goals for management of upper limb spasticity, in worldwide clinical practice, fall into six main goal areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215515593391","type":"journal-article","created":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T21:50:02Z","timestamp":1435960202000},"page":"617-622","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":38,"title":["Common goal areas in the treatment of upper limb spasticity: a multicentre analysis"],"prefix":"10.1177","volume":"30","author":[{"given":"Stephen","family":"Ashford","sequence":"first","affiliation":[{"name":"Regional Hyper-acute Rehabilitation Unit, Northwick Park Hospital, UK"},{"name":"King\u2019s College London, Faculty of Life Science and Medicine, Department of Palliative Care, Policy and Rehabilitation, UK"}]},{"given":"Klemens","family":"Fheodoroff","sequence":"additional","affiliation":[{"name":"Department of Neurorehabilitation, Gailtal-Klinik, Hermagor, Austria"}]},{"given":"Jorge","family":"Jacinto","sequence":"additional","affiliation":[{"name":"Centro de Medicina de Reabilita\u00e7\u00e3ode Alcoit\u00e3o, Servi\u00e7o de Reabilita\u00e7\u00e3o de Adultos 3, Estoril, Portugal"}]},{"given":"Lynne","family":"Turner-Stokes","sequence":"additional","affiliation":[{"name":"Regional Hyper-acute Rehabilitation Unit, Northwick Park Hospital, UK"},{"name":"King\u2019s College London, Faculty of Life Science and Medicine, Department of Palliative Care, Policy and Rehabilitation, UK"}]}],"member":"179","published-online":{"date-parts":[[2015,7,3]]},"reference":[{"key":"bibr1-0269215515593391","volume-title":"Spasticity in adults: management using botulinum toxin - 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