Physiotherapy for Cervical Dystonia: A Systematic Review of Randomised Controlled Trials

Toxins (Basel). 2022 Nov 11;14(11):784. doi: 10.3390/toxins14110784.


Physiotherapy is mentioned as an adjunctive treatment to improve the symptoms of cervical dystonia in terms of pain, function and quality of life. However, botulinum neurotoxin injection remains the treatment of choice. This systematic review emphasizes physical therapy and evaluates it by including six studies. The methodology is based on a previous systematic review on this topic to provide better comparability and actuality. For this purpose, two databases were searched using the previously published keywords. This time, only randomised controlled trials were evaluated to increase the power. In conclusion, additional physical therapy and active home exercise programs appear to be useful. Further research should focus on the dose-response principle to emphasize physical therapy treatment modalities.

Keywords: add-on treatment; physical therapy; rehabilitation; spasmodic torticollis.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Botulinum Toxins* / therapeutic use
  • Exercise Therapy
  • Humans
  • Physical Therapy Modalities
  • Quality of Life
  • Torticollis* / therapy


  • Botulinum Toxins

Grants and funding

This research received no external funding.