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View All Patient Interview/AssessmentBoNT-A DosingUtilizing Ultrasound TechnologyUpper LimbNeck Flexion/RotationShoulder Elevation/Flexion/RotationHead & Neck ExtensionHead RotationHead & Neck RotationForearm/Elbow FlexionForearm FlexionHand/Thumb FlexionFinger/Wrist FlexionFinger FlexionThigh/Hip FlexionHip Extension/Leg FlexionFoot Inversion/Plantar FlexionFoot/Big Toe ExtensionFoot/Toe FlexionPlantar Flexion

Welcome to BoNT-A for Movement Disorders

This innovative CME video library includes high-definition videos of experts assessing and treating patients with movement disorders using current injection techniques and strategies that individualize treatment based on patient needs and desires.
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Click on any of the available videos below or jump to a particular section using the shortcuts listed to the left. Each of the videos will allow you to receive CME credit. If you have any questions, please contact us.

Disclaimer

The materials provided in this resource are for educational purposes, and each clinician must always use his or her own personal and professional judgment when considering further application for this information, particularly as it may relate to patient diagnostic or treatment decisions including without limitation, FDA-approved uses and any off-label uses. References to any entity, product, service, or source of information on this website should not be considered an endorsement, either direct or implied, by Paradigm Medical Communications, LLC. Any views or opinions are solely those of the faculty, and do not represent those of Paradigm Medical Communications, LLC, who accepts no liability for the content referenced in this resource.

If included, signed statements of informed consent granting permission for publication have been obtained for all photographs and videos in which an individual can be identified.

Contact

For questions, technical support, or playback issues, please email us at contactus@paradigmmc.com.

Patient Interview/Assessment
Patient 1: Interview for Bilateral Upper Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 1: Assessment for Bilateral Upper Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 2: Interview for Bilateral Focal Hand Dystonia
David Simpson, MD
Patient 2: Assessment for Bilateral Focal Hand Dystonia
David Simpson, MD
Katharine Alter, MD
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 4: Interview and Assessment for Bilateral Upper and Lower Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 5: Interview & Assessment Spasmodic Torticollis
Nicholas Ketchum, MD
Patient 6: Interview & Assessment Unilateral Upper and Lower Limb Spasticity Secondary To Stroke
Nicholas Ketchum, MD
Patient 7: Interview & Assessment Cervical Dystonia
Michael Munin, MD, PMR
Patient 8: Patient Interview & Assessment Cervical Dystonia
Michael Munin, MD, PMR
Patient 9: Patient Interview & Assessment
Michael Munin, MD, PMR
BoNT-A Dosing
BoNT-A Dosing in Spasticity vs Focal Dystonia
David Simpson, MD
Katharine Alter, MD
Utilizing Ultrasound Technology
Background Ultrasound for Muscle Identification
Katharine Alter, MD
Head And Neck Muscle Identification Using Ultrasound
Katharine Alter, MD
Head And Neck Muscle dentification Using Ultrasound
Katharine Alter, MD
Lower Limb Muscle Identification Using Ultrasound
Katharine Alter, MD
Head And Neck Muscle Identification Using Ultrasound
Michael Munin, MD, PMR
Katharine Alter, MD, PMR
Upper Limb
Upper Limb Muscle Identification Using US
Katharine Alter, MD
Neck Flexion/Rotation
Patient 5: Splenius Capitis With BoNTA EMG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 5: Sternocleidomastoid With BoNTA MG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 5: Splenius Capitis with BoNTA US EMG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 7: Splenius Capitis With BoNTA EMG with US
Michael Munin, MD, PMR
Patient 8: Sternocleidomastoid With BoNTA EMG with US
Michael Munin, MD, PMR
Patient 8: Splenius Capitis With BoNTA EMG with US
Michael Munin, MD, PMR
Shoulder Elevation/Flexion/Rotation
Patient 5: Trapezius With BoNTA MG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 7: Trapezius and Levator Scapulae With BoNTA EMG with US
Michael Munin, MD, PMR
Patient 8: Trapezius and Levator Scapulae With BoNTA EMG with US
Michael Munin, MD, PMR
Head & Neck Extension
Patient 5: Semispinalis Capitis with BoNTA US EMG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 7: Semispinalis Capitis With BoNTA EMG with US
Michael Munin, MD, PMR
Patient 8: Semispinalis Capitis With BoNTA EMG with US
Michael Munin, MD, PMR
Head Rotation
Patient 8: Longissimus With BoNTA EMG with US
Michael Munin, MD, PMR
Head & Neck Rotation
Patient 8: Oblique Capitis Inferioris With BoNTA EMG with US
Michael Munin, MD, PMR
Forearm/Elbow Flexion
Patient 1: Interview for Bilateral Upper Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 1: Assessment for Bilateral Upper Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 1: Brachialis with US and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 1: Biceps Brachii with US and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 1: Brachioradialis with US and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 1: Flexor Digitorum Superficialis with US and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 3: Biceps Brachii with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 3: Brachialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 3: Brachioradialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 6: Brachialis with BoNTA MG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 6: Brachioradialis with BoNTA EMG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 9: Biceps Brachii With BoNTA US
Michael Munin, MD, PMR
Patient 9: Brachialis With BoNTA US
Michael Munin, MD, PMR
Forearm Flexion
Patient 4: Interview and Assessment for Bilateral Upper and Lower Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 4: Biceps and Brachialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 4: Brachioradialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Hand/Thumb Flexion
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 3: Flexor Pollicis Longus, with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 3: Opponens Pollicis, Flexor Pollicis Brevis with Anatomic/Manual Guidance
David Simpson, MD
Katharine Alter, MD
Finger/Wrist Flexion
Patient 2: Assessment for Bilateral Focal Hand Dystonia
David Simpson, MD
Katharine Alter, MD
Patient 2: Interview for Bilateral Focal Hand Dystonia
David Simpson, MD
Patient 2: Flexor Digitorum Superficialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 3: Flexor Digitorum Superficialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 6: Flexor Carpi Radialis with BoNTA EMG
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 6: Flexor Digitorum Superficialis with BoNTA EMG with Estim
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 9: Flexor Caripi Radialis With BoNTA US
Michael Munin, MD, PMR
Patient 9: Flexor Digitorum Superficialis With BoNTA US
Michael Munin, MD, PMR
Finger Flexion
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 3: Flexor Digitorum Profundus with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 4: Interview and Assessment for Bilateral Upper and Lower Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 4: Flexor Digitorum Superficialis with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 6: Flexor Digitorum Profundus with BoNTA EMG with Estim
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 9: Flexor Digitorum Profundus With BoNTA US
Michael Munin, MD, PMR
Thigh/Hip Flexion
Patient 4: Iliopsoas/Iliacus with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Hip Extension/Leg Flexion
Patient 4: Interview and Assessment for Bilateral Upper and Lower Limb Spasticity Secondary to Multiple Sclerosis
David Simpson, MD
Patient 4: Semimembranosus and Semitendinosus with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Patient 6: Gastrocnemius with BoNTA MG with US
Nicholas Ketchum, MD
Katharine Alter, MD
Patient 9: Gastrocnemius With BoNTA US
Michael Munin, MD, PMR
Foot Inversion/Plantar Flexion
Patient 9: Tibialis Posterior With BoNTA US
Michael Munin, MD, PMR
Foot/Big Toe Extension
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 3: Extensor Hallucis Longus with Combined US (short axis, out of plane) and ESTIM Guidance
David Simpson, MD
Katharine Alter, MD
Foot/Toe Flexion
Patient 3: Interview and Assessment for Upper and Lower Limb Spasticity
David Simpson, MD
Patient 3: Flexor Digitorum Brevis with Anatomic/Manual Guidance
David Simpson, MD
Katharine Alter, MD
Patient 6: Flexor Digitorum Longus and Flexor Hallucis Longus with BoNTA MG with Estim
Nicholas Ketchum, MD
Plantar Flexion
Patient 9: Soleus With BoNTA US
Michael Munin, MD, PMR

BoNT-A, botulinum neurotoxin type A
ESTIM, electrical stimulation
US, ultrasound

©2024 Paradigm Medical Communications, LLC.

Actual BoNT-As are used by faculty to accurately demonstrate the injection techniques. Use of a particular agent for demonstration purposes does not imply endorsement of any product, nor does it imply that the injection technique is specific to any product.

This initiative is supported by an educational grant from Merz North America, Inc.