Optimizing Care for Patients with Spasticity: Methods for Improving Life-Span Care

Released On
June 21, 2019

Expires On
June 21, 2020

Media Type

Completion Time
45 minutes

Neurology, Physiatry, Pediatrics, Primary Care, Surgery

Spasticity, Dystonia, Botulinum toxin, Cerebral Palsy

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Provided by Catalyst Medical Education, LLC and AKH Inc., Advancing Knowledge in Healthcare.


This activity is supported in part by an independent education grant from Ipsen Biopharmaceuticals, Inc.

Credit Available

  • Physicians — maximum of 0.75 AMA PRA Category 1 Credit(s)

All other health care professionals completing this course will be issued a statement of participation.

Target Audience

This activity is intended for neurologists, physiatrists, orthopedic surgeons and other healthcare professionals who treat patients with spasticity.

Program Overview

This online activity will provide patient-centered, video-based education that explores care challenges that exist in the period of transition from pediatric care to adult care.

Learning Objectives

Upon completion of this activity, the learner should be able to:

  • Review the indications, and the unique clinical applications of botulinum toxin pharmacotherapy in patients with cervical dystonia, limb dystonias, and spasticity
  • Identify the indications and unique dosing requirements of the current botulinum neurotoxins for the treatment of cervical dystonia, limb dystonias, and spasticity
  • Discuss management and communication strategies to facilitate care for pediatric patients transitioning to adult care.
  • Describe effective adult transition strategies to assist clinicians in providing optimal care throughout a patient’s life-span
  • Develop strategies for individualizing therapy and assisting patients with cervical dystonia, limb dystonias, and spasticity in achieving their functional goals


Katharine E. Alter, MD (Course Director)

Pediatric/Adult Physiatrist
Mount Washington Pediatric Hospital
Clinical Assistant Professor, Pediatrics, Physical Medicine Rehabilitation
AT Still University
Mesa, AZ

Cindy B. Ivanhoe, MD

Clinical Professor, Physical Medicine and Rehabilitation
University of Texas, McGovern Medical School
Clinical Professor
Baylor College of Medicine
Houston, TX

Mark E. Gormley Jr. MD

Associate Medical Director for Pediatric Rehabilitation Medicine
Gillette Children's Specialty Healthcare
St. Paul, MN

Heakyung Kim, MD

Columbia University Medical Center/NYPH
New York, NY

Accreditation Statement

CME Credit provided by AKH Inc., Advancing Knowledge in Healthcare
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare and Catalyst Medical Education, LLC. AKH Inc., Advancing Knowledge in Healthcare is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

AKH Inc., Advancing Knowledge in Healthcare designates this enduring activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants

NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

Disclosures of Conflicts of Interest


Katharine E. Alter, MD has disclosed no financial relationships

Mark E. Gormley Jr. MD has disclosed the following relevant financial relationships:

  • Contracted Research: Allergan, Ipsen; Speakers Bureau - Ipsen

Cindy B. Ivanhoe, MD has disclosed the following relevant financial relationships:

  • Consultant: Allergan, Ipsen, Medtronic; Speakers Bureau - Allergan, Ipsen, Medtronic

Heakyung Kim, MD has disclosed no financial relationships.


Louis Settembrino, CHCP, President and CEO: has disclosed no relevant financial relationships.
Dorothy Caputo, MA, BSN, RN, Lead Nurse Planner/Reviewer: has disclosed no relevant financial relationships.
Patricia Brignoni, AKH Director of Operations/Reviewer: has disclosed no relevant financial relationships.

Instructions for Participation and Credit

There are no fees for participating and receiving CME credit for this enduring activity. To receive CME credit participants must:

  1. Read the CME/CE information and faculty disclosures.
  2. Participate in the online activity.
  3. Receive a passing score of 70% on the post test.
  4. Submit the evaluation form.

Certificates will be emailed to the participant

Course Viewing Requirements

This site is best viewed with an HTML5 compatible browser. You can visit the independent (3rd party) site www.whatismybrowser.com to determine if you have the latest version of your browser.

Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, and Real Networks Real One Player.

Disclosure of Unlabeled Use

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as a general guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or other professional advice in specific cases. AKH, Inc., Advancing Knowledge in Healthcare specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant's misunderstanding of the content.


It is the policy of AKH, Inc., Advancing Knowledge in Healthcare to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The faculty must disclose to the participants any significant relationships with commercial interests whose products or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are resolved by AKH, Inc., Advancing Knowledge in Healthcare prior to accreditation of the activity and may include any of or combination of the following: attestation to non-commercial content, notification of independent and certified CME/CE expectations, referral to National Faculty Initiative training, restriction of topic area or content, restriction to discussion of science only, amendment of content to eliminate discussion of device or technique, use of other faculty for discussion of recommendations, independent review against criteria ensuring evidence support recommendation, moderator review, and peer review. AKH, Inc., Advancing Knowledge in Healthcare planners and reviewers have no relevant financial relationships to disclose.

For CME questions, please contact: AKH at tbrignoni@akhcme.com