title: The physical, social and emotional aspects are the most affected in the quality of life of the patients with cervical dystonia.
abstract: OBJECTIVE
  Describe the functional, clinical and quality of life (QoL) profiles in patients with cervical dystonia (CD) with residual effect or without effect of botulinum toxin (BTX), as well as verify the existence of correlation between the level of motor impairment, pain and QoL.
  
  
  METHODS
  Seventy patients were assessed through the Craniocervical dystonia questionnaire-24 (CDQ-24) and the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS).
  
  
  RESULTS
  The greater the disability, pain and severity of dystonia, the worse the QoL (p<0.0001). Greater severity relates to greater disability (p<0.0001). Pain was present in 84% of the sample, being source of disability in 41%. The most frequent complaints were: difficulty in keeping up with professional and personal demands (74.3%), feeling uneasy in public (72.9%), hindered by pain (68.6%), depressed, annoyed or bitter (47.1%), lonely or isolated (32.9%).
  
  
  CONCLUSIONS
  The physical, social and emotional aspects are the most affected in the QoL of these patients.
authors: Setor de Distúrbios do Movimento, Serviço de Neurologia, Departamento de Medicina Interna, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
authors: Roberta Weber
authors: RW
authors: Werle
authors: Universidade Federal do Paraná, Curitiba, PR, Brazil.
authors: Sibele Yoko Mattozo
authors: SY
authors: Takeda
authors: Setor de Distúrbios do Movimento, Serviço de Neurologia, Departamento de Medicina Interna, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
authors: Marise Bueno
authors: MB
authors: Zonta
authors: Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil.
authors: Ana Tereza Bittencourt
authors: AT
authors: Guimarães
authors: Setor de Distúrbios do Movimento, Serviço de Neurologia, Departamento de Medicina Interna, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
authors: Hélio Afonso Ghizoni
authors: HA
authors: Teive
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001905:Botulinum Toxins / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology; D019547:Neck Pain / Q000503:physiopathology / Q000523:psychology; D009498:Neurotoxins / Q000627:therapeutic use; D011788:Quality of Life / Q000523:psychology*; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014103:Torticollis / Q000188:drug therapy / Q000503:physiopathology* / Q000523:psychology*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D009498:Neurotoxins; D001905:Botulinum Toxins