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J Neurol Neurosurg Psychiatry 63:642-648 doi:10.1136/jnnp.63.5.642
  • Paper

Symptomatic and functional outcome of surgical treatment of cervical dystonia

Table 4

Subscores for the severity of cervical dystonia, functional disability, and associated pain according to the modified TWSTRS scale preoperatively and on long term follow up in 34 patients after EMG guided surgical treatment

Preop Score Postop Score P value
Total severity score: 16.35 7.88 <0.0001
 Rotation 2.18 0.97 <0.0001
 Tilt 1.90 0.90 <0.0001
 Anteflexion/retroflexion 1.06 0.32 0.0001
 Percentage of time 2.82 2.00 <0.0001
 Shoulder elevation 1.52 0.67 <0.0001
 Range of voluntary motion 1.91 0.74 <0.0001
 Time head can be held  straight 2.56 0.82 <0.0001
 Effect of sensory tricks 1.30 0.76 0.0004
 Lateral shift 0.39 0.27 0.125
 Sagittal shift 0.09 0.09 1.0
 Head tremor 0.41 0.32 0.37
 Head jerking 0.50 0.18 0.0068
Total functional disability score: 34.06 14.53 <0.0001
 Work/domestic work 2.91 1.53 <0.0001
 Driving 3.15 1.62 <0.0001
 Reading 3.42 1.65 <0.0001
 Writing 3.06 1.46 <0.0001
 Watching television 3.12 1.38 <0.0001
 Outside activities 3.44 1.56 <0.0001
 Drinking 2.88 0.97 <0.0001
 Eating 2.74 0.97 <0.0001
 Personal hygiene 2.62 0.94 <0.0001
 Dressing 2.41 0.77 <0.0001
 Verbal communication 0.79 0.35 0.0564
 Social embarrassment 3.59 1.68 <0.0001
Total pain score: 4.97 2.74 <0.0001
 Severity of pain 2.32 1.18 <0.0001
 Presence of pain 2.65 1.53 <0.0001

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