Poster 369 Development of a Picture Guide to Identify Common Postures of Spasticity

Background.- An illustrative picture guide to identify common postures of upper and lower limb spasticity was developed for use by clinicians and patients. Methods.- Five specialists in spasticity managment provided guidance on the most common postures observed in patients with spasticity. A photo shoot with patients was held to capture photos of these spasticity postures across four etiologies (stroke, traumatic brain injury, multiple sclerosis, and cerebral palsy). Initially, clinicians separately ranked the most representative photo for each posture. Subsequently, the group reached a consensus on the best photo for each posture. A medical illustrator converted the posture photos into representative sketches for inclusion into the picture tool. Results.- Fifteen patients with spasticity representing each etiology participated in the photo shoot. All postures were photographed from various angles, resulting in at least five unique photos per posture. Fifteen common postures were identified and converted into representative sketches. Conclusions.- The spasticity common postures guide will be a useful tool for determining the prevalence of spasticity postures and gaining a better understanding of the treatment goals of spasticity presentations. Additionally, the guide may reduce the heterogeneity of spasticity evaluation among clinicans. Patients' understanding of the guide will be evaluated in future interviews.