College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is a common clinical sign of Spasmodic Torticollis?

1. Reduced range of motion

2. Spasms in a typical torticollis position

3. Increased muscle strength

4. Consistent muscle twitching without spasms

The correct answer is: Spasms in a typical torticollis position

Spasmodic Torticollis, also known as Cervical Dystonia, is characterized primarily by involuntary muscle contractions that cause the head to twist and turn to one side, or to pull forward or backward. This condition often manifests with spasms that position the neck in a specific posture, which aligns with the concept of a typical torticollis position. The presence of spasms in this characteristic posture is a hallmark sign of Spasmodic Torticollis. Patients may experience episodes of muscle contractions that lead to their heads being rotated or tilted, often leading to discomfort and functional limitations in daily activities. Moreover, these spasms can vary in intensity and duration, contributing to the distinct clinical presentation of the disorder. In contrast, while reduced range of motion can be associated with this condition due to discomfort and muscle stiffness, it does not specifically identify the spasmodic nature of the disorder or the positioning of the head that is common in Spasmodic Torticollis. Increased muscle strength would not be a symptom of this condition, as the spasms create tension and can lead to weakness over time. Consistent muscle twitching without spasms would also not accurately describe Spasmodic Torticollis, where