NIH-funded research R01 grant

Neck and shoulder strength training for cervical dystonia

Official title: Progressive resistance exercise and dystonia pathophysiology.

Funded at University of Florida · NIH-11173596 · Data updated 2026-11-12

This project tests whether a progressive resistance exercise program for neck and shoulder muscles can change brain function and help people with cervical (neck) dystonia.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Florida
NIH-funded
Lab location1 site (Gainesville, United States)
Project startSeptember 1, 2022
Project endAugust 31, 2027
Funding year2025
Award (this year)$511,192
NIH project number5R01NS122943-04
Project IDNIH-11173596 on NIH RePORTER

Who could benefit from this research

Could help

Adults with focal cervical dystonia (neck dystonia) who can participate in supervised exercise and attend visits at the study site are the best candidates.

Less likely to help

People with other forms of dystonia, those unable to perform resistance exercise, or individuals with contraindications to MRI or TMS may not benefit or be eligible.

What this research studies

If I join, I would be randomly placed into a group that does a progressive resistance exercise program for the neck and shoulders alongside my usual care, or into a group that continues usual care alone. The supervised exercise program (called PERFECT) emphasizes gradually increasing strength training focused on the affected muscles. Researchers will use brain scans (fMRI) and noninvasive brain stimulation (TMS) to look for changes in brain activity and control that happen with the training. They will compare symptom control, muscle function, and daily activities between the two groups to learn who is most likely to benefit.

Why it matters

Potential benefit: This approach could improve neck muscle control and symptoms for people with cervical dystonia and help tailor rehabilitation based on brain changes.

How similar studies have gone: Prior studies using stretching and relaxation showed modest and variable benefits, while progressive resistance training combined with brain imaging is a newer, less-tested approach.

Where this research is happening

  • University of Florida
    Gainesville, United States
    Active

Researchers

  • Principal investigator: Wagle Shukla, Aparna — University of Florida
  • Study coordinator: Wagle Shukla, Aparna

Related research

Other NIH-funded projects on the same topics.

  • Role of THAP1 in brain cell support cells shaping brain development

    Aims to understand how the THAP1 protein in oligodendrocyte lineage cells helps shape the brain’s environment and myelination during development, which may relate to a movement disorder called DYT6 dystonia.

    NIH research Case Western Reserve University · Cleveland, United States · NIH-11596702

  • Leukocyte RNA biomarkers to help diagnose and monitor dystonia

    A small study will look for RNA signatures in blood that could help diagnose and track dystonia in people who have the condition.

    NIH research University of Tennessee Health Sci Ctr · Memphis, United States · NIH-11440474

  • How a dystonia-linked protein affects brain support cells and myelin

    This project looks at how the THAP1 protein linked to DYT6 dystonia changes the behavior of brain support cells and the surrounding matrix, which could affect myelination in adults with DYT-THAP1.

    NIH research Case Western Reserve University · Cleveland, United States · NIH-11418173

  • Intrathecal baclofen for children with dystonia due to brain injury

    A physician-led study at Baylor College of Medicine will help determine how ITB therapy affects daily life, comfort, and mobility for children with dystonia and related condition after brain injury.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11401768

  • DYT1 Dystonia: Mouse Models to Understand TorsinA and Brain Circuits

    A researcher-led project uses mouse models to explore how a genetic change in DYT1 dystonia affects brain circuits and movement.

    NIH research University of Florida · Gainesville, United States · NIH-11399135

  • Dystonia-specific brain signaling pattern in cerebellum

    Aims to identify a characteristic pattern of nerve cell activity in the cerebellum that is linked to dystonia, with studies in mice and potential implications for people with the condition.

    NIH research Virginia Polytechnic Inst and St Univ · Blacksburg, United States · NIH-11398836

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.