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. 2023 Feb 4;20(4):2797. doi: 10.3390/ijerph20042797

Table 2.

Advised approach of BTA intervention in spastic HSP.

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    Use a structured and standardized format in the patient record specifying:
    • Type of BTA
    • Total dose
    • Dilution
    • Dose per muscle
    • Number of injections per muscle
  • -

    Early intervention

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    US guided

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    In case of inconclusive muscle selection: consider muscle block

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    Muscles to consider:
    • m. pectoralis major
    • m. latissimus dorsi
    • m. teres major
    • m. subscapularis
  • -

    In case of inconclusive muscle selection: consider muscle block