title: Immediate effect of scapular repositioning with active cervical rotation in acute spasmodic torticollis.
abstract: OBJECTIVE
  The aim of this preliminary study was to investigate the immediate effects on pain and pressure pain threshold (PPT) of a scapular repositioning technique in patients with acute spasmodic torticollis.
  
  
  METHODS
  A randomized, single blind pilot study was conducted. The subjects were 23 individuals (age 20-40 years) with a clinical diagnosis of spasmodic torticollis. Visual analog scale pain score, cervical active ranges of motion, and PPT were assessed before and after the intervention. The comparison group was treated with only conventional physiotherapy (microwave diathermy, submaximal isometrics, and ergonomic advice). The intervention group was given scapular repositioning with active cervical rotation technique, in addition to conventional physiotherapy treatment.
  
  
  RESULTS
  There were significant improvements in intensity of pain (P < .01), cervical rotation to the ipsilateral side (P < .01), cervical side flexion to the contralateral side (P < .01), and PPT (P < .01) immediately after the treatment of the scapular repositioning and conventional therapy compared with the conventional therapy alone.
  
  
  CONCLUSIONS
  The present pilot study demonstrated that scapular repositioning may have an immediate hypoalgesic effect on individuals with spasmodic torticollis in terms of pain severity, PPT, and cervical range of motion. Therefore, further controlled trials are warranted.
authors.affiliation: Clinical Physical Therapist, Pravara Institute of Medical Sciences, Loni, Maharashtra State, 413 736 India. niyati.1432@gmail.com
authors.forename: Niyati A
authors.initials: NA
authors.lastname: Desai
authors.forename: Subhash M
authors.initials: SM
authors.lastname: Khatri
authors.forename: Apeksha B
authors.initials: AB
authors.lastname: Agarwal
mesh_terms: D000208:Acute Disease; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D026201:Musculoskeletal Manipulations / Q000379:methods*; D010147:Pain Measurement; D017288:Pain Threshold; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D016059:Range of Motion, Articular / Q000502:physiology*; D012399:Rotation; D012540:Scapula; D012720:Severity of Illness Index; D012785:Shoulder Joint / Q000503:physiopathology; D016037:Single-Blind Method; D014103:Torticollis / Q000175:diagnosis / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Dyskinesia; Hypesthesia; Scapula; Torticollis