This educational activity is jointly sponsored by the University of
California, Irvine and the Neurotoxin Institute.

Supported by an unrestricted educational grant from Allergan, Inc.

A Multispecialty Guide to the Use of BOTULINUM NEUROTOXINS
(166 -page booklet)

Editors:
Mark Hallett, MD
Joseph Jankovic, MD
Stephen D. Silberstein, MD, FACP

Advisory Editors:
Alberto Esquenazi, MD
Michael B. Chancellor, MD
Supreet Deshpande, MD
F. Michael Ferrante, MD
Mark E. Gormley, Jr, MD
Pankaj J. Pasricha, MD

After completing this CME Activity, participants should be able to:

• Understand the conceptual basis and mechanism of action underlying the therapeutic application of BoNTs in a broad array of clinical conditions.
• Review a range of clinical applications in which BoNT has been shown to have some effect.
• Identify appropriate patients for therapy and determine condition-specific techniques, including injection-site selection and dosing of BoNT.
• Discuss procedures for administering BoNT therapy.

Expiration Date:  December 31, 2010

Method of partiipation: In order to receive
5 AMA PRA Categor 1 Credits^TM, partiicpants must mail or fax the Posttest Answer Sheet and Evaluation Form (bound inside this handbook) to the University of Irvine's Office of Continuing Medical Education.  The posttest answers will be graded, and, after successfully answering at least 85% of the questions correctly, you will be sent the CME certificate within 60 days of submission.  Participants are allowed 2 attempts to pass the test.

This educational activity is jointly sponsored by
Beth Israel Medical Center & Scientiae, LLC.

Supported by an unrestricted educational grant from Allergan, Inc.

O.N.E. U.P.
(Optimizing Neurotoxin Efficacy Utilizing Physical and Occupational Therapy)

Adult Upper Motor Neuron Syndrome/Adult Spasticity

Package contains:

For the Physical Therapist: 1 Physician/Therapist AMA PRA certified DVD
For Your Patients: 5 Patient Companion Booklets; 10 Home Exercise Program DVDs

Chair:
Cindy B. Invanhoe, MD

Faculty:
Atul T. Patel, MD
Heather Horak, PT
Rene Peré, OTR

Course Director:
Susan Bressman, MD

Original Release Date: April 15, 2009

Expiration Date:  April 15, 2011

Target Audience: The goal of this program is to educate healthcare providers who manage patients with upper motor neuron syndrome/spasticity including, but not limited to, Neurologists, Physiatrists, Physical Therapists and Occupational Therapists.

Needs Assessment: The purpose of this enduring material activity is to explain how patient outcomes can be improved in many cases with adjunctive physical and occupational therapy. There is lack of awareness among botulinum neurotoxin injectors concerning the added benefit of physical therapy and occupational therapy as follow-up to injection therapy for Upper Motor Neuron Syndrome/Adult Spasticity. Physicians, physical therapists and occupational therapists will be able to provide their patients with the accompanying DVD and printed materials. Please register to request these materials.

Method of Participation:
In order to receive 2.0 AMA PRA Category 1 Credits(s)^TM, participants must view the presentations on the enclosed DVD and complete the posttest questions and evaluation. Directions for completing the posttest questions and evaluation are included on the DVD. Physicians are required to complete the attestation statement of the exact time (maximum of 2.0 credit hours) that they participated. Upon completion of the posttest questions, evaluation and attestation statement, participants will be able to download their certificate. Participants must achieve a passing grade (70% or higher) to receive credit.
 

After completing this CME Activity, participants should be able to:

• Assess patients with Adult Upper Motor Neuron Syndrome/Adult Spasticity to identify appropriate candidates for adjunctive physical/occupational therapy post-neurotoxin injection.
• Recognize the importance of adjunctive physical/occupational therapy for Adult Upper Motor Neuron Syndrome/Adult Spasticity patients treated with BoNT for improved patient care.
• Recall standardized physical/occupational therapy protocols to optimize patient outcome.
• Instruct their patients on home exercise and home activity programs to provide the comprehensive follow-up needed in these cases.