Diploma Education

Curriculum for physician education

TARGET GROUP:
Current and future practitioners

MEDICAL SPECIALTY:
Neurologists, neurophysiologists, neuropediatricians, and rehabilitation physicians

 

Main purpose and learning objectives
After finishing the 3 courses the participant is able to analyze spasticity and dystonia and select relevant diagnostic and treatment options for these types of muscle overactivity. The participant is competent in the use of ultrasound and EMG guidance techniques for intramuscular botulinum toxin treatments and can accurately and safely treat the salivary glands. The participant has a thorough understanding of the interdisciplinary approach to treating muscle overactivity and is aware of how and when the local communal resources can be used to optimize the cooperative efforts for outpatient settings.

kursus1-2024-2026-2

Course 1

Place: Rigshospitalet Glostrup, Copenhagen
Time: 14th to 16th of September 2026

Themes:

  • Analysis of spasticity
  • Pathophysiology of muscle overactivity
  • Theory of instruments for analysis of spasticity
    (MAS and Tardieu)
  • Theory of SMART-goals and Goal Attainment Scale (GAS)
  • Correct use of and evidence for botulinum toxin treatment
  • Terminology of muscle overactivity
  • Different types of ultrasound- and EMG-equipment
  • Identification and practical guides to treatment of muscles using ultrasound and EMG (spasticity)
  • Instructions for take-home assignment
kursus2-2024-2026-2

Course 2

Place: Ottestad Rehabilitation Hospital, Norway
Time: 12th to 14th April 2027

Themes:

  • Intrathecal Baclofen treatment
  • Oral treatment options
  • Practical use of instruments for analysis of spasticity (MAS and Tardieu)
  • Functional assessments and testing
  • Practical use of SMART-goals and Goal Attainment Scale (GAS)
  • Advanced diagnostic methods (gait-lab, diagnostic nerveblock)
  • Additional treatment options (Orthopedic and neurosurgery, neurolysis)
  • Multimodal treatment options (orthosis, serial casting, exoskeleton, dropfoot stimulator etc.)
  • Presentation of take-home assignments
kursus3-2024-2026-2

Course 3

Place: Drammen Hospital, Norway
Time: 7th to 9th February 2028

Themes:

  • Analysis of cervical dystonia including use of the COLCAP concept
  • Theoretical and practical treatment of salivary glands
  • Therapeutic intervention for cervical dystonia
  • Approach to ensuring interdisciplinary cooperation across sectors
  • Identification and practical guides to treatment of muscles using ultrasound and EMG (cervical dystonia)
  • Presentation of take-home assignments

Practical information

There will be three webinars scheduled between the in-person courses. All participating physicians are expected to already be or be about to start treating patients with spasticity and/or dystonia. Between the courses, participants must visit two other treatment centres that treat spasticity and dystonia with botulinum toxin, spending two days at each centre.

For final approval and graduation, participants must have:

– Participated in all courses including webinars
– Satisfactorily completed and presented the take-home assignment
– Visited two other treatment centres for two days each and demonstrated their qualifications

Duration: The Skandyspas education takes place over the course of 18 months, with 9 in-person course days and 3 webinars.
Participants per course: Maximum of 20 physicians
Deadline for registration: 4 May 2026
Participation fee: 4000 DKK total for all courses, including coffee, lunch, and snacks. Transportation, housing, and dinner not included.
Registration: Link below. Please apply with qualifications and motivation.

Diploma Education

Curriculum for therapist education

TARGET GROUP:
Physiotherapist and occupational therapist specialized in cervical dystonia or spasticity treatment and rehabilitation in adults and children

Main purpose and learning objectives
After finishing the 3 courses, the therapist will be able to independently analyse the functional consequences of muscle overactivity (spasticity and dystonia) and its impact on patients’ daily lives. The therapist can correctly and effectively use standardized muscle tone tests and set relevant treatment goals together with the patient and is knowledgeable about the available medical treatment options and the use of ultrasound- and EMG-guided botulinum toxin treatment. The therapist can initiate relevant therapeutic follow-up treatment with specific training modalities, including interdisciplinary teamwork.

kursus3-2024-2026-2

Course 1

Venue: Righospitalet Glostrup, Copenhagen
Date: 14th to 16th of September 2026

Course 1 focuses on the therapists’ intervention before botulinum toxin injection and the physiological background of muscle overactivity, as well as the correct identification, characterization and description of muscle overactivity.

Themes:

  • Analysis of spasticity
  • Pathophysiology of muscle overactivity
  • Theory of instruments for analysis of spasticity (MAS and Tardieu)
  • Theory of SMART-goals and Goal Attainment Scale (GAS)
  • Correct use of and evidence for botulinum toxin treatment
  • Terminology of muscle overactivity
  • Different types of ultrasound- and EMG-equipment
  • Identification and practical guides to treatment of muscles using ultrasound and EMG (spasticity)
  • Instructions for take-home assignment
kursus2-2017-2018-2

Course 2

Venue: Ottestad Rehabilitation Hospital, Norway
Date: 12th to 14th April 2027

Course 2 focusses on therapeutic interventions during and after botulinum toxin injections and the practical application of skills learned in course 1.

Themes:

  • Intrathecal Baclofen treatment and oral treatment options
  • Practical use of instruments for analysis of spasticity (MAS and Tardieu)
  • Practical use of SMART-goals and Goal Attainment Scale (GAS)
  • Functional assessments and testing
  • Advanced diagnostic methods (gait-lab, diagnostic nerveblock)
  • Additional treatment options (Orthopedic- and neurosurgery, neurolysis)
  • Multimodal treatment options (orthosis, serial casting, exoskeleton, drop foot stimulator etc.)
  • Training methods for improving outcomes during botulinum toxin treatment
  • Presentation of take-home assignments
kursus1-terapaut-2024-2026-2

Course 3

Venue: Drammen Hospital, Norway
Date: 7th to 9th February 2028

Course 3 focusses on theory and practice for interventions in cervical dystonia, as well as interdisciplinary and trans-sectoral teamwork and practical interventions in pediatric populations.

Themes:

  • Analysis of cervical dystonia including use of the COLCAP concept
  • Approaches to ensuring interdisciplinary cooperation across all sectors
  • Practical workshop on splints and orthoses
  • Secondary complications of muscle overactivity (e.g. contractures)
  • Interventions aimed at children with muscle overactivity
  • Presentation of take-home assignments

Practical information

There will be three webinars scheduled between the in- person courses. For final approval and graduation, participants must have:

– Participated in all courses including three webinars
– Satisfactorily completed and presented the take-home assignment

Duration: The Skandyspas education takes place over the course of 18 months, with 9 in-person course days and 3 webinars.
Participants per course: Maximum of 20 therapists
Deadline for registration: 4 May 2026
Participation fee: 2000 DKK total for all courses, including coffee, lunch, and snacks. Transportation, housing, and dinner not included.
Registration: Link below. Please apply with qualifications and motivation.