TY - JOUR
T1 - The effects of a relaxation program featuring aquatic therapy and autogenic training among people with cervical dystonia (a pilot study)
AU - Isabel Useros-Olmo, Ana
AU - Martínez-Pernía, David
AU - Huepe, David
N1 - Publisher Copyright:
© 2018, © 2018 Taylor & Francis.
PY - 2020/4/2
Y1 - 2020/4/2
N2 - Classic physical interventions for cervical dystonia (CD) have focused on treating motor components or, on motor components and relaxation programs. However, no CD treatment study has focused on a relaxation program alone. We developed a pilot study to assess whether a therapy completely based on a relaxation program could improve the physical and mental symptomatologies of patients with CD. Fifteen persons were included in the experimental group, which received individual sessions of aquatic (Watsu) therapy (WT) and autogenic training (AT). In addition, 12 persons were included in passive control group. We administered different questionnaires related to quality of life (SF-36), pain (Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and Visual Analog Scale (VAS)) and mood (Beck Depression Inventory (BDI-II) and State-Trait Anxiety Inventory (STAI)). A significant interaction was observed between treatment and time with regard to the SF-36, VAS, and TWSTRS within the experimental group (p < 0.01). The BDI-II showed depression decrease as a simple effect (p < 0.05), and the STAI did not change. No effects were found with regard to the control group. In this exploratory study, we found that a therapy based on whole body relaxation improved the symptoms of patients with CD. This knowledge enables a disease-management strategy that uses a holistic perspective and moves beyond the dystonic focus.
AB - Classic physical interventions for cervical dystonia (CD) have focused on treating motor components or, on motor components and relaxation programs. However, no CD treatment study has focused on a relaxation program alone. We developed a pilot study to assess whether a therapy completely based on a relaxation program could improve the physical and mental symptomatologies of patients with CD. Fifteen persons were included in the experimental group, which received individual sessions of aquatic (Watsu) therapy (WT) and autogenic training (AT). In addition, 12 persons were included in passive control group. We administered different questionnaires related to quality of life (SF-36), pain (Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and Visual Analog Scale (VAS)) and mood (Beck Depression Inventory (BDI-II) and State-Trait Anxiety Inventory (STAI)). A significant interaction was observed between treatment and time with regard to the SF-36, VAS, and TWSTRS within the experimental group (p < 0.01). The BDI-II showed depression decrease as a simple effect (p < 0.05), and the STAI did not change. No effects were found with regard to the control group. In this exploratory study, we found that a therapy based on whole body relaxation improved the symptoms of patients with CD. This knowledge enables a disease-management strategy that uses a holistic perspective and moves beyond the dystonic focus.
KW - Cervical dystonia
KW - Watsu therapy
KW - autogenic training
KW - body awareness
KW - relaxation program
UR - http://www.scopus.com/inward/record.url?scp=85084627477&partnerID=8YFLogxK
U2 - 10.1080/09593985.2018.1488319
DO - 10.1080/09593985.2018.1488319
M3 - Article
C2 - 29939827
AN - SCOPUS:85084627477
SN - 0959-3985
VL - 36
SP - 488
EP - 497
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
IS - 4
ER -