Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention.

Purpose: Contracture is stiffness and reduction in how much a joint and muscle can move and may impact on self-care and functional ability. We outline the development of the first comprehensive Logic-Model of the problem for contracture development, to inform prevention and treatment.

Method: The initial Logic-Model was developed based on the literature by the research team.

Ultrasound image guided injection of botulinum toxin for the management of spasticity: A Delphi study to develop recommendations for a scope of practice, competency, and governance framework.

Objective: To establish a scope of practice, competency (through education) and governance framework for ultrasound image guided injection of botulinum toxin in the management of spasticity.

Design: Delphi study.

Setting: International, web-based survey.

Prolonged disorders of consciousness: identification using the UK FIM + FAM and cohort analysis of outcomes from a UK national clinical database.

Purpose: 1: To determine whether Total UK FIM + FAM scores can identify patients in VS/MCS. 2: Using the identified cut-off points, to examine outcomes from specialist rehabilitation.

Methods: Part 1: Retrospective analysis of a consecutive clinical cohort ( = 388) presenting to a single specialist PDOC evaluation programme 2007-2021.

The Leg Activity measure, a new measure of passive and active function and impact on quality of life; informing goal setting and outcome evaluation in leg spasticity.

Purpose: Application of the Leg Activity measure in acquired brain injury spasticity intervention to identify areas for goal setting prior to treatment, document the treatments applied and evaluate outcome.

Methods: A prospective cohort from three specialist spasticity management centres was used. Primary outcome measures were, Leg Activity Measure, Modified Ashworth Scale and Goal Attainment Scaling - light.

Psychometric evaluation of the leg activity measure (LegA) for outcome measurement in people with brain injury and spasticity.

Purpose: The aim of this study is to evaluate the properties of the Leg Activity measure according to COnsensus-based Standards for the selection of health Measurement INstruments.

Method: Participants were assessed at baseline, one day, 6 weeks and 12 weeks, following treatment for leg spasticity with botulinum toxin and physical interventions.

Results: In stage 1, 64 participants were recruited to evaluate the initial psychometric properties of Leg Activity measure.