Post-traumatic cervical dystonia Musculoskeletal Diseases Post-traumatic cervical dystonia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Soft tissue injury resulting in cervical dystonia neck distortion following a motor vehicle accident 2. Range of motion limited to laterocollis and shoulder elevation 3. Experienced neck pain after trauma and were prescribed physical therapy either opioids or NSAIDs 4. Pain symptoms lasting 14 – 16 weeks from initial trauma 5. Patients attended 3 physical therapy sessions per week 6. Toronto Western Spasmodic Torticollis Rating Scale (TWISTRS) greater than 35 7. Visual analogue scale (VAS) score greater than 7 8. Presence of hernia on magnetic resonance imaging (MRI) 9. Aged 18 years and over
Exclusion criteria
Exclusion criteria: 1. Patients solely on muscle relaxer medication to relieve pain 2. Less than 18 years of age 3. Pregnancy or breast feeding 4. Diagnosed neuromuscular disorders 5. Previous use of botulinum toxin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain, as measured using the visual analogue scale at baseline, within 6 weeks and within 90 days weeks of receiving botulinum toxin and assessed through medical record review. | — |
Secondary
| Measure | Time frame |
|---|---|
| Range of motion, as measured by physical examination at baseline, within 6 weeks and within 90 days weeks of receiving botulinum toxin and assessed through medical record review. | — |
Countries
United States of America