The effects of a laser-guided postural reeducation program on pain, neck active range of motion, and functional improvement in a 75-year-old patient with cervical dystonia.

Background and Purpose: Limited research exists regarding physical therapy management for patients with cervical dystonia (CD). The purpose of this case report is to describe the clinical management of a patient with CD using manual techniques, cervical traction, and laser-guided postural reeducation. Case Description: The patient was a 75-year-old female with CD, diagnosed 40 years prior, with a 10-year history of botulinum neurotoxin injections. She reported a 1-year history of worsening neck pain and cervical range of motion loss which was significantly affecting her ability to sleep and drive. The patient was seen for 12 visits over a 6-week period. Outcomes: Discharge scores indicated marked improvements in active range of motion, neck disability index, and the CDIP-58 questionnaire. Improvement in motor control as measured during the SenMorCor™ Laser Functional Error Assessment was demonstrated in the motions of "looking right" (53%) and up (48%). Discussion: This case report indicates that a physical therapy program consisting of a daily laser-guided home program for head postural reeducation in conjunction with classic physical therapy techniques may be an option for patients with CD; however, further research is needed prior to adoption of these techniques as standard of care for patients with CD.