Treatment diary for botulinum toxin spasticity treatment: a pilot study.
Bo Biering-Sørensen, Helle K Iversen, Inge M S Frederiksen and 2 others
PMID 28225535WHAT IT FOUND
Ten patients using a paper diary between botulinum toxin injections reported feeling more involved in their care.
Most found it worth the time, though some struggled with instructions. The diary helps track spasticity effects but has not yet been proven to improve clinical outcomes.
Key findings
0186% of patients who used the diary reported being more involved in their treatment and finding it easier to set personal goals.
02All participants who used the diary found it worth the time spent using it.
03Some patients and therapists misunderstood how to complete the diary and required clearer instructions.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study was a pilot with only ten participants, which is too small to determine effectiveness. One participant lost their diary, reducing the number of usable responses for diary-specific feedback to seven. The paper reports that quality of life improvements were not observed in this pilot. Some users found the instructions for the diary unclear, which may affect its utility in practice.
Declared interests
The text does not explicitly state funding sources or conflicts of interest.
The easy way to misread this
Do not assume this diary improves clinical outcomes like quality of life. The pilot study did not report such improvements, and the sample size was too small to prove effectiveness beyond patient satisfaction.