{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T17:13:32Z","timestamp":1773681212071,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2011,9,12]],"date-time":"2011-09-12T00:00:00Z","timestamp":1315785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Anterior and posterior sagittal shift of the head are less common postures in cervical dystonia and, as such, have not been comprehensively studied. In this article, we have detailed both our clinical and electromyography (EMG) findings in 11 patients with prominent dystonic sagittal shift of the head. A new technique of injection of the longus colli, based on a laterocervical approach under EMG guidance, is described. We have detailed the clinical phenotypes of dystonic posterior sagittal shift or \u201cdouble chin\u201d posture (4 patients) and anterior sagittal shift or \u201cgoose neck\u201d posture (7 patients) and proposed specific botulinum toxin (BoNT) treatment protocols for these postures. Seven patients with the goose\u2010neck posture responded well (70%\u201390% benefit) to BoNT injections. Six patients responded to splenius capitii injections alone, and 1 patient needed, in addition, the injection into both sterno\u2010cleido\u2010mastoid muscles. Four patients with the double\u2010chin posture responded well to BoNT injection (50%\u201380% benefit). Two patients responded to suprahyoid injection alone, and 2 patients needed, in addition, the injection into the sterno\u2010cleido\u2010mastoid and longus colli muscles. Dysphagia was avoided in all of the double\u2010chin patient group by adjusting our injection technique into the suprahyoid and longus colli muscles. The individualised toxin BoNT protocols have resulted in an improved benefit. The new Longus colli injection technique has allowed for a therapeutic effect of botulinum toxin without causing dysphagia. \u00a9 2011 Movement Disorder Society<\/jats:p>","DOI":"10.1002\/mds.23905","type":"journal-article","created":{"date-parts":[[2011,9,12]],"date-time":"2011-09-12T20:16:41Z","timestamp":1315858601000},"page":"2409-2414","source":"Crossref","is-referenced-by-count":31,"title":["Anterior and posterior sagittal shift in cervical dystonia: A clinical and electromyographic study, including a new EMG approach of the longus colli muscle"],"prefix":"10.1002","volume":"26","author":[{"given":"Joanna M.","family":"Flowers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy A.","family":"Hicklin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Helene","family":"Marion","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,9,12]]},"reference":[{"key":"e_1_2_8_2_2","first-page":"289","volume-title":"Motor Disturbances II","author":"Thompson PD","year":"1988"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.4.878"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00839204"},{"key":"e_1_2_8_5_2","unstructured":"KapandjiIA. The physiology of the movement of joints. Vol. 3. Trunk and Spine. Paris: Maloine Publishing;2004."},{"key":"e_1_2_8_6_2","volume-title":"Myofascial pain and dysfunction. The Trigger Point Manual","author":"Travell JG","year":"1999"},{"key":"e_1_2_8_7_2","first-page":"665","article-title":"Function of longus colli and longissimus cervicis muscles in man","author":"Fountain FP","year":"1996","journal-title":"Arch Phys Med Rehab"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01627655"},{"key":"e_1_2_8_9_2","first-page":"1","article-title":"Postural control of the human mandible","volume":"1869","author":"Miles TS","year":"2007","journal-title":"Arch Oral Bio"},{"key":"e_1_2_8_10_2","first-page":"451","article-title":"An electrophysiological study on jaw\u2010opening reflex recorded from digastric muscle in Parkinson's disease and primary cranial dystonias","volume":"7","author":"Alfonsi E","year":"1992","journal-title":"Funct Neurol"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.7.1307"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1109416"}],"container-title":["Movement Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmds.23905","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmds.23905","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.23905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:25:42Z","timestamp":1760959542000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mds.23905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,12]]},"references-count":11,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1002\/mds.23905"],"URL":"https:\/\/doi.org\/10.1002\/mds.23905","archive":["Portico"],"relation":{},"ISSN":["0885-3185","1531-8257"],"issn-type":[{"value":"0885-3185","type":"print"},{"value":"1531-8257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,12]]}}}