{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:26:38Z","timestamp":1787167598051,"version":"build-2736575974"},"reference-count":60,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ipsen"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Toxins"],"abstract":"<jats:p>The study aimed to identify expert opinions and obtain recommendations on the management of post-stroke hemiplegic shoulder pain (HSP) and treatment with botulinum toxin A (BoNT-A). A multicenter Delphi study was conducted using an online survey designed by a committee of experts with at least 10 years of experience in post-stroke HSP management with BoNT-A in Spain. Forty-seven panelists (specialists with at least 5 years of experience in post-stroke HSP management with BoNT-A) rated their level of agreement in two rounds based on acceptance by \u226566.7% of them. In round 1, 245 statements on three dimensions were evaluated (diagnosis, treatment, and follow-up of the HSP patients treated with BoNT-A). A total of 159 statements (70.9%) were finally accepted after round 2. Experts recommended BoNT-A as soon as spasticity affects daily activities. They considered ultrasound as the preferred guided technique. Experts recommended regular assessments using validated scales and patient-reported outcomes to evaluate treatment goals and safety. In case of lack of response, experts suggested increasing the dose or number of treated muscles or considering alternative treatments. These consensus-based recommendations offer clinicians an approach to the management of post-stroke HSP with BoNT-A, supporting informed decision making.<\/jats:p>","DOI":"10.3390\/toxins17010040","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T06:46:10Z","timestamp":1737009970000},"page":"40","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Delphi Consensus on the Management of Spanish Patients with Post-Stroke Hemiplegic Shoulder Pain Treated with Botulinum Toxin A: Result Study"],"prefix":"10.3390","volume":"17","author":[{"given":"Carlos","family":"Cordero-Garc\u00eda","sequence":"first","affiliation":[{"name":"Juan Ram\u00f3n Jim\u00e9nez University Hospital, Ronda Exterior Norte s\/n, 21005 Huelva, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"de Torres","sequence":"additional","affiliation":[{"name":"Reina Sof\u00eda University Hospital, Avda. Men\u00e9ndez Pidal s\/n, 14004 C\u00f3rdoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacobo","family":"Formigo-Couceiro","sequence":"additional","affiliation":[{"name":"University Hospital of A Coru\u00f1a, As Xubias, 84, 15006 A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lluis","family":"Guirao","sequence":"additional","affiliation":[{"name":"M\u00fatua Terrassa University Hospital, Pla\u00e7a del Doctor Robert, 5, 08221 Terrassa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2370-3887","authenticated-orcid":false,"given":"M\u00aa Dolores","family":"Romero-Torres","sequence":"additional","affiliation":[{"name":"Virgen Macarena University Hospital, Avda. 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