Abstract
There is a strong recommendation for the use of intramuscular botulinum toxin in patients with persistent or progressive spasticity affecting one or more joints and who have an identifiable therapeutic target. After a botulinum toxin injection, a stretching intervention improves the results of the treatment, and it should be performed by patients and/or caregivers after being trained by a therapist. Adherence to this recommendation remains low once the therapist stops following the patient. The COVID-19 pandemic has increased the use of telemedicine with different approaches to treat patients. There has been an increased use of motivational applications, with virtual reality software and real-life videos, which provide a gaming experience that increases adherence. There are programs with synchronous telehealth exercises guided by physical therapists or software with sensor-based technology that shows the range of motion (ROM) and strength of the muscles of a particular joint. These new approaches to patient follow-up appear to increase adherence to exercise because they need to be “watched and controlled” is achieved.
Highlights
Spasticity is involuntary muscle overactivity, which leads to damage to the central nervous system
We have not found any apps consisting of games that target the stretching exercise after the botulinum toxin (BoNT) muscle injection for the patient with spasticity after our specific search
The only app we have found related to the patient with spasticity is named Spasticity Assessor, and it is associated with the Tardieu scale
Summary
Spasticity is involuntary muscle overactivity, which leads to damage to the central nervous system (brain and spinal cord). Spasticity management is challenging due to the diversity of patient presentation and goals or aims of treatment It will normally include a combination of physical and pharmacological management, often using a variety of different approaches according to the needs of an individual patient [1, 2]. RPM uses digital technologies to collect health data from individuals in one location, such as a home of the patient, and electronically transmit the information to healthcare providers in a different location for assessment and recommendations [11,12,13]. We have searched to find those tools for our patients with spasticity to be able to use telemedicine solutions for their management after BoNT injection of their spastic muscles
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