Dystonia
Conditions
Brief summary
The study involves the use of a novel, non-invasive, monitoring device to measure the response to treatment with botulinum toxin injections in 24 (16 Intervention and 8 control) patients with cervical dystonia. A baseline assessment, prior to botulinum treatment,will be structured around validated clinical rating scales for cervical dystonia and questionnaires and the performance of simple neck movements, and will be undertaken while the patient wears a movement sensor attached to the head with an elastic strap. The same assessments will be undertaken at 0, 3, 6, 9 and 12 weeks following treatment to assess response. The patients' treatment will not be affected by their participation in the research. The device readings will then be compared with the clinical ratings to establish whether it might be used as a more sensitive measure of treatment response than clinical assessment alone. This will help clinicians to plan and execute botulinum injections more effectively in future
Interventions
DEVICEShimmer monitoring
The shimmer monitor, monitors movement and the range of movement.
Sponsors
The Leeds Teaching Hospitals NHS Trust
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Male or female participants aged 18 years or older (no upper age limit) and willing and able to provide informed consent. * Participant is able and willing to comply with the follow-up schedule and protocol. * Participants diagnosed with cervical dystonia. * Participant has previously received botulinum toxin therapy for cervical dystonia without adverse side effects OR is naïve to botulinum toxin therapy but is suitable to participate in the investigator's opinion
Exclusion criteria
* -Participated in another clinical investigation within 30 days. * Allergy to device components or botulinum toxin. * Medical co-morbidities that preclude botulinum toxin therapy. * Patient is incapable of understanding or responding to the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Successful monitoring of movement by the shimmer monitor | 3, 6, 9 and 12 weeks post botulinum therapy | Accurate assessment of cervical dystonia at different time points to assess change over allocated time frame. |
Countries
United Kingdom
Outcome results
None listed