ACCME Accreditation Statement:
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
AMA Credit Designation Statement:
The Medical College of Wisconsin designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Hours of Participation for Allied Health Care Professionals:
The Medical College of Wisconsin designates this activity for up to 1.0 hours of participation for continuing education for allied health professionals.
- 1.00 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 1.00 Hours of ParticipationHours of Participation credit.
The research issue we wish to address is increasing research activity within the department, and forming/capitalizing on collaborations with faculty from other departments and institutions.
Allied Health Care Professionals
Speaker: Kimberly Keniry, MD
Title: Revised Ashworth-Tardieu Scale (RATS) for spasticity: Methods and reliability of a proposed new spasticity scale
Objective: To evaluate inter- and intra-rater reliability of the Revised Ashworth-Tardieu Scale (RATS) for spasticity, as to validate its clinical use
Design: Validity/reliability study
Methods: Sixty participants with spastic hemiplegia or tetraplegia will be recruited. Each participant will have the RATS spasticity exam performed a total of 8 times during a single study session by two physiatrist raters experienced in spasticity assessment and management. Each rater will alternate performing the RATS spasticity exam on each participant, twice with the participant in a seated position and twice in a supine position, with at least a 5 minute rest period between each exam.
Main Outcome Measures: Intra- and inter-rater reliability of the RATS in 6 muscles groups in the upper extremity and 6 muscles groups in the lower extremity
Results: Data collection in process
Conclusions: Data collection in process
Speaker: Bridget Walker, MD
Title: Ultrasound assessment of spastic muscle architecture in response to motor point block
Objective: To compare muscle architecture under ultrasound in response to motor point blocks in spastic muscle
Design: Prospective study
Methods: Eleven participants with spastic hemiplegia were recruited from inpatient and outpatient setting. Spasticity was evaluated clinically with Modified Ashworth Scale to identify muscles of interest for temporary motor point block (medial gastrocnemius and/or medial hamstring). An ultrasound assessment was performed on these muscles before and after motor point block. Motor point block to targeted muscles was performed using a 50/50 mixture of 1% lidocaine and 0.5% bupivacaine and with electrical stimulation for guidance. In addition, participants also took part in a combined gait analysis study; gait analysis was performed using Gaitrite walkway before and after motor point block.
Main Outcome Measures: Muscle thickness, muscle echointensity, pennation angle.
Results: To be determined.
Presenter: Kimberly Keniry, MD & Bridget Walker, MD
All persons in control of content have NO relevant financial relationships to disclose.
Activity Director: Matt Durand, PhD
Diane Braza, MD
Nick Ketchum, MD
John McGuire, MD
Karin Goodfriend, MD
Brian Robertson-Dick, MD
Meagan Jozwiak, MD
Erin Beddows, MD
Erin McGonigle, MD
Moriah Iverson, MS
Matt Durand, PhD
Rachel Minkin, MS