Abstract Committee Review

An excellent and clinically impactful abstract. The I-REFER study validates the Spastic Movement Disorder Decision Tree (SMD-DT) as a practical, evidence-based tool enabling nurses and therapists to identify post-stroke spasticity with high reliability.

 Strengths

• High clinical value: Empowers non-specialists to detect spasticity early, improving access to timely botulinum toxin therapy.
• Robust methodology: Strong inter-rater reliability (K= 0.71–0.80, p<0.001) and high sensitivity/specificity confirm solid construct validity.
• Clear and concise presentation: Structured, well-written, and aligned with TOXINS 2026 standards.

Suggestions

• Add a brief note on user training and implementation feasibility.