Are U at Risk ?
Ever wonder if you are at risk for developing the most common form of dystonia?
It’s called cervical dystonia = Spasmodic Torticollis = ST; which involves twisting, turning of the neck along with a great deal of associated pain.
Take our online CD Risk Assessment Tool and find out today !
Are You or a Loved One at Risk for CD ?
Name ______________________________ Today’s Date _______
How to complete this Risk Assessment Tool :
- Read each statement carefully.
- Check all the statements that apply to you.
- Enter the number of points shown for each of your checked statements in the space to your right.
- Add up all your points to reach your total CD Risk Score.
- Share your results with your physician or other healthcare provider.
Add 1 point for each of the following statements that apply to you :
- Are You Female ___
- Are you between the ages of 30 to 60 ___
- Do you experience neck pain with restricted mobility ___
- Do you experience involuntary twisting or turning of your neck in a certain direction ___
- Do you experience head shaking or jerk-like movements ___
- Has a healthcare professional ever informed you that you have “ wry neck “ ___
- Have you ever experienced a neck injury resulting from a fall, motor vehicle or other accident ___
- Have you ever been exposed to anti-nausea medications such as Reglan or Compazine ___
- Have you ever been exposed to anti-psychotic medications such as Haldol ___
- Do you have a family history of a movement disorder such as Tremor, Parkinsons disease or dystonia ___
Add up all your points to get your total CD Risk Score ___
What does Your CD Risk Score mean ?
- 0 to 3: Low Risk
- 4: Moderate Risk
- 5+: High Risk
What should I do about my CD Risk Score ?
- A Low Risk means that you may not be at risk for CD, but it would be a good idea to reassess your risk for CD during your regular yearly annual exams.
- Moderate Risk means that you should share this tool and your results with your healthcare provider as soon as possible to prevent mis-diagnosis.
- Your High Risk score means that you that may have CD and requires a thorough evaluation by a movement disorder specialist. Talk to a healthcare professional today about CD- the First Step to Diagnosis of CD
( Copyright . C4D 2007 ) Note : CD = cervical dystonia = ST = torticollis
