Botulinum Toxin Injection Efficiency

Effectiveness of Botulinum Toxin Injection After Exercising Splenius Capitis Muscle in Patients With Cervical Dystonia

The purpose of the study is to examine the effect of the botulinum toxin injection into muscle tone, strength and mobility with and without muscle exercise effect.

The purpose is also to find out patients subjective symptoms between injections. Hypothesis: Efficiency of the botulinum toxin is more powerful with the muscle exercise before injection.

Inclusion Criteria:

• Clinical diagnosis of cervical dystonia
• Spasticity in splenius capitis muscle
• Regular treatment with botulinum toxin injection

Exclusion Criteria:

• Don't want to take part the Trial
• Very long distance from home to Jyväskylä Central Hospital