Table 3.

Physician practice patterns.

		% (n)
Do you inject the muscles of the shoulder girdle with BoNT-A for spasticity management?	Yes	100% (54)
How often do you include shoulder muscles in your first round of management with BoNT-A if adduction and/or internal rotation spasticity is identified?	Always Often Sometimes Seldom	25.93% (14) 53.70% (29) 16.67% (9) 3.70% (2)
What is the minimum Modified Ashworth Scale you will inject BoNT-A for the shoulder?	0 1 1+ 2 3	1.92% (1) 5.77% (3) 57.69% (30) 23.08% (12) 11.54% (6)
What target muscle localization methods do you use for BoNT-A injection around the shoulder girdle?	Electromyography Ultrasound Electrical stimulation Anatomical landmarks only Other	78.84% (41) 59.62% (31) 48.08% (25) 32.69% (17) 1.92% (1)
Do you ever grasp the wad (muscle belly) of the pectoralis muscles or latisimus dorsi in your hand when you inject to avoid going too deep?	Yes No	88.46% (46) 11.53% (6)
List the number of lung punctures that have occurred with shoulder muscle injections that caused a pneumothorax for you personally?	0 1 2	94.23% (49) 3.85% (2) 1.92% (1)
Do you use phenol or alcohol for shoulder adduction or internal rotation spasticity?	Yes No	5.77% (3) 94.23% (49)
Which nerves do you target?	Lateral Pectoral Nerve Medial Pectoral Nerve Subscapular Nerve	66.67% (2) 66.67% (2) 33.33% (1)