Long-Term Specialized Physical Therapy in Cervical Dystonia: Outcomes of a Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation
Joost van den DoolMarina A Tijssen

Abstract

To evaluate the effectiveness of a specialized physical therapy (SPT) program on disability in cervical dystonia (CD) compared to regular physical therapy (RPT). A single-blinded randomized controlled trial. This study was performed by a physical therapist in a primary health care setting. Measurements were performed at baseline, 6 and 12 months in the botulinum toxin (BoNT) outpatient clinic of the neurology department. Patients with primary CD and stable on BoNT treatment for 1 year (N=96). The primary outcome was disability assessed with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Secondary outcomes were pain, anxiety, depression, quality of life (QOL), and health related costs over 12 months. A total of 72 participants (30 men, 42 women) finished the study: 40 received SPT, 32 RPT. No significant between group differences were found after 12 months of treatment (P=.326). Over these 12 months both groups improved significantly (P<.001) on the TWSTRS disability scale compared to baseline (SPT 1.7 points, RPT 1.0 points). Short Form 36 (SF-36) General Health Perceptions (P=.046) and self-perceived improvement (P=.007) showed significantly larger improvements after 12 months in favor of SPT. Total health re...Continue Reading

Citations

Oct 24, 2020·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Ian O BledsoeMarta San Luciano
Oct 26, 2020·Journal of Neural Transmission·Lynley V BradnamAlana McCambridge
Feb 9, 2021·Frontiers in Pediatrics·Hortensia GimenoRichard G Brown
Apr 17, 2021·Frontiers in Neurology·Bart P van de WarrenburgBastiaan R Bloem
Jun 22, 2021·Frontiers in Neurology·Marenka SmitUNKNOWN Collaborative Working Group

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