Goal Setting and Expectations
Every patient with severe spasticity has different goals they would like to achieve during their screening trial and during therapy. Depending on their current abilities and functioning, including degree of ambulation, goals could either be passive, active, or both.1
Goals That Can Be Achieved With ITB Therapy1,2
When setting goals, remember to be realistic about what can happen during the course of 1 day. Often patients and their families can be unrealistic and seek functional improvements that are unlikely to be obtained. Input for goals should come from many sources, including the treatment team, families or caregivers, and the patients themselves. These may change and develop over time, but should be agreed upon by everyone involved.3 Depending on the patient’s response during the screening test, additional goals may be set. After completing a successful trial, a discussion with the treatment team and the patient and their caregivers about the long-term treatment goals should occur to set expectations and guide continued therapy.1
See what is possible with Lioresal® Intrathecal (baclofen injection).
Safety and effectiveness in pediatric patients below the age of 4 have not been established.
"Even though he has cerebral palsy, we want our son to do as many regular activities as possible."
“My goal is to continue to be active and independent - and not let severe spasticity slow me or my family down.”
"My goal is to effectively manage my spasticity so I can continue to advance my career."
- Boster AL, Bennett SE, Bilsky GS, et al. Best practices for intrathecal baclofen therapy: screening test. Neuromodulation. 2016;19(6):616-622.
- Saulino M, Ivanhoe CB, McGuire JR, et al. Best practices for intrathecal baclofen therapy: patient selection. Neuromodulation. 2016;19(6):607-615.
- Elovic E, Brashear A. Chapter 9: Setting realistic and meaningful goals for treatment. In: Brashear A, Elovic E, eds. Spasticity: Diagnosis and Management. 2nd ed. New York, NY: Demos Medical Publishing, LLC, 2016.