An Application of the Solution-Focused Approach to a Case of Spasmodic Torticollis

Abstract

The Present study reported an application of the solution-focused approach (SFA) to a patient with spasmodic torticollis. Although a decrease in the base EMG level of sternocleidomastoid muscle was observed during relaxation training (EMG biofeedback and Autogenic training), symptoms of spasmodic torticollis remained intact in daily life. In order to explore a possibility of the muscle control in daily life, we applied the SFA to the patient. While the therapist focused on the patient's solution image during SFA sessions, the patient not only described its future goal but also performed various activities with muscle control. After four sessions of the SFA, the symptoms improved. We discussed some implications for the effectiveness of the SFA on the case of spasmodic torticollis.