Preliminary Scientific Program

Wednesday, 31 March 2027
09:00-13:00   Pre-Conference Workshops

Workshop 1:
Advanced Application of Ultrasonography in Spasticity Assessment and Treatment

Workshop 2:
Cryoneurolysis and Other Neurolytic Techniques

Workshop 3:
Percutaneous Dry Needling and Related Interventions for Spasticity

12:00

Registration Opens

14:30-16:20

2nd International Symposium Opening
Contemporary and Emerging Perspectives on Spasticity

14:30-14:50 Welcome: Introduction to Spasticity X and The International Spasticity Society
14:50-15:10 Neurophysiologic Prediction of Poststroke Spasticity
15:10-15:30 Lesion Characteristics & Structural Disconnectome Predicting Spasticity
15:30-15:50 Precision Spasticity Management: Matching Treatment to Patient Phenotype
15:50-16:10 Is Spasticity Maladaptive Plasticity?
16:10-16:20 Q & A
16:20-16:50

  Break

16:50-19:00

General Session 2
Clinical Pearls: Electromyography and Ultrasonography in Spasticity Management

16:50-17:10 Revisiting the Role of Surface Electromyography in Spasticity Assessment
17:10-17:30 Electromyographic Correlates of Ultrasonographic Findings in Spasticity
17:30-17:50 Clinical Correlates of Ultrasonographic Observations to Optimize Outcomes in Spasticity Management
17:50-18:10 Ultrasonographic Assessment of Trunk and Proximal Limb Muscles
18:10-18:20 Q & A
18:20-18:30 ISS Lifetime Achievement Award Presentation
18:30-19:00 ISS Lifetime Achievement Award Lecture
19:00-21:00 Welcome Reception and Networking • Exhibits and Poster Hall Open
Thursday, 1 April 2027
08:00-10:05

General Session 3
Early Recognition and Management of Spasticity

08:00-08:15 Opening Remarks
08:15-08:35 Transition of Spasticity Care from Pediatrics to Adults: Challenges and Solutions
08:35-08:55 Postural Stability to Assess Outcomes of Botulinum Toxin Treatment of Spasticity in Cerebral Palsy
08:55-09:15 Non-invasive Muscle Spasticity Assessment in Children With Cerebral Palsy
09:15-09:25 Q & A
09:25-10:05 Debate: Pediatric Topic
10:05-10:50

 Break • Educational Theatre • Exhibit and Poster Hall Open

10:50-12:00

General Session 4
Considerations in Pediatric Spasticity

10:50-11:10 Early Recognition and Intervention for Poststroke Spasticity (The American Heart Association Stroke Council Statement)
11:10-11:30 The Benefits of Early Intervention Using Botulinum Toxin
11:30-11:50 Does Spasticity Really Begin Early?
11:50-12:00 Q & A
12:00-14:00

 Lunch • Industry-Sponsored Session • Exhibit and Poster Hall Open

14:00-15:30   Parallel Session 1
Focus on Persons With the Lived Experience of Spasticity


  Parallel Session 2
Gait


14:00-14:20 Aligning Minds in Spasticity Care
Instrumented Assessment of Spastic Gait
14:20-14:40 Patient and Caregiver Burden and The Lived Experience of Spasticity
Spasticity’s Impact on Gait Speed
14:40-15:00 The Spasticity Syndrome and its Multimodal Management: A Patient-Centric Approach
Hemiplegic Spastic Gait and the Effect of Phenol Neurolysis
15:00-15:20 Patient Perspectives on Adherence to Botulinum Toxin Therapy in Spasticity
The Influence of Ankle Range of Motion and Gait on Gastrocnemius Remodeling
15:20-15:30 Q & A
Q & A
15:30-16:30   Break • Educational Theatre • Exhibit and Poster Hall Open
16:30-18:00   Parallel Session 3
Spinal Origin Spasticity


  Parallel Session 4
Neuro-Orthopedics and Other Interventions


16:30-16:50 Spasticity After Traumatic Spinal Cord Injury: Implications for Recovery
Contemporary Management of Equinovarus Deformity
16:50-17:10 Reticulospinal Contributions to Spinal-Origin Spasticity
Management of Post-Stroke Flexed Elbow Deformity
17:10-17:30 Bone Health and Spasticity After a Spinal Cord Injury
Percutaneous Tenotomy for Spasticity Management
17:30-17:50 Predictors of Acute and Late Spasticity After Traumatic Spinal Cord Injury
Radiofrequency Interventions for Spasticity
17:50-18:00 Q & A
Q & A
Friday, 2 April 2027
08:30-10:10   Parallel Session 5
Spasticity Assessment


  Parallel Session 6
Therapeutic Exercise and Modalities


08:30-08:40 Opening Remarks
Opening Remarks
08:40-09:00 The Complexities of Conceptualizing, Defining, and Measuring Spasticity
Exercise and Spasticity
09:00-09:20 A Simple Bedside Grading Scale Can Predict Severe Post-Stroke Upper-Limb Spasticity Impact of Pre-Conditioning Serial Casting on Botulinum Toxin Therapy
09:20-09:40 Evaluating the Intensity of Muscle Contraction by Near-Infrared Spectroscopy
Extracorporeal Shock Wave Therapy for Post-Stroke Spasticity
09:40-10:00 Robotics for Spasticity Assessment
Invasive Physiotherapy for Spasticity
10:00-10:10 Q & A
Q & A
10:10-10:55   Break • Educational Theatre • Exhibit and Poster Hall Open
10:55-12:00 General Session 5
From Fragmentation to Integration: Transforming Spasticity Care Pathways
10:55-12:00 A Panel Discussion
12:00-14:00   Lunch • Industry-Sponsored Session • Exhibit and Poster Hall Open
14:00-15:30   Parallel Session 7
Artificial Intelligence


  Parallel Session 8
Botulinum Toxins I


14:00-14:20 Wearable Sensor Technology
Effects of Increasing Botulinum Toxin Doses on Gait
14:20-14:40 Artificial Intelligence for Spasticity Management
Botulinum Toxin in Pain-Related Post-Stroke Limb Spasticity
14:40-15:00 Machine Learning Algorithm Prediction in Spasticity Assessment
Unpleasant Sensations in Spasticity & the Modulatory Role of Botulinum Toxin
15:00-15:20 AI-Powered Spasticity Care: Optimizing Botulinum Toxin Treatment
Use of Botulinum Toxin as a Treatment of Hemiplegic Shoulder Pain Syndrome
15:20-15:30 Q & A
Q & A
15:30-16:30  Break • Educational Theatre • Exhibit and Poster Hall Open
16:30–18:00   Parallel Session 9
Oral Presentations


  Parallel Session 10
Neurolysis and Intrathecal Therapies


16:30-16:50 Oral Presentation 1
Oral Presentation 2
Recent Developments in Cryoneurolysis
16:50-17:10 Oral Presentation 3
Oral Presentation 4
Long-term Outcome of Cryoneurolysis
17:10-17:30 Oral Presentation 5
Oral Presentation 6
European Expert Consensus on Improving Patient Selection for Chemodenervation and Intrathecal Therapy
17:30-17:50 Oral Presentation 7
Oral Presentation 8
Revisiting the Role of Intrathecal Therapies in Comprehensive Spasticity Management
17:50-18:00 Q & A
Q & A
Saturday, 3 April 2027
09:00-10:30   Parallel Session 11
Botulinum Toxins II


  Parallel Session 12
Neuromodulation II


09:00-09:20 Managing the Patient with Concurrent Multiple Indications for Botulinum Toxin
Repetitive Magnetic Stimulation for Treating Upper Limb Spasticity After Stroke
09:20-09:40 Short- and Long-Acting Botulinum Toxins
Electrical Stimulation Therapy for Post-Stroke Spasticity
09:40-10:00 Recent Discoveries in Botulinum Toxins
High-Frequency Epidural Electrical Stimulation in Managing Spasticity in Spinal Cord Injury
10:00-10:20 The Impact of Botulinum Toxins on Abnormal Flexor Synergies
Pre- and Postsynaptic Inhibition of Spinal Spasticity by Transcutaneous Spinal Cord Stimulation
10:20-10:30 Q & A
Q & A
10:30-10:50   Break
10:50-13:00 General Session 6
Focus on Muscle in Spasticity
Best Paper and Poster Awards
10:50-10:55 Muscle Changes in Spasticity
10:55-11:15 Relationship Between Spasticity, Muscle Stiffness and Fibrosis – Insights From Treatment With Hyaluronidase
11:15-11:35 Impact of Long-Term Botulinum Toxin A Treatment on Muscle Morphology and Stiffness
11:35-11:55 Muscle Type-Specific Effects of Botulinum Toxin on Muscle Growth and Contractile Function
11:55-12:15 Direct Myosin Inhibition as a Drug Target for Treating Spasticity
12:15-12:35 The Effect of Excitation-Contraction Coupling Inhibitors on the Action of Botulinum Neurotoxins
12:35-12:45 Q & A
12:45-12:55 Best Oral Paper and Poster Awards Presentation
12:55-13:00   Closing Remarks