The Effectiveness of Physical Therapy in Cervical Dystonia and its Response with Botulinum Toxin: A Case Repor

Cervical dystonia is characterised by involuntary cervical muscles contraction leading to inappropriate posture of neck. Numerous causal factor involvements are there. Both pharmacological and physiotherapy need to be incorporated in the treatment. In this case report the patient is a 57 year old male having cervical dystonia and also having frozen shoulder with pain over the contralateral side. Physiotherapy treatment had been started prior to pharmacological intervention for both cervical dystonia and frozen shoulder. Here we tried to reduce the symptoms for cervical dystonia by exercises but due to presence of frozen shoulder the improvement got affected. The cervical dystonia improvement is monitored by Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS).Physiotherapy had been continued after injection of botulinum toxin and the outcome was measured with TWSTRS comparing with the baseline.