The physical therapist may examine a person's daily routine and make recommendations to improve efficiency and safety. A stand-up vacuum may be easier to use than a canister model. It may be more comfortable to chop vegetables while sitting in a high-backed chair with arms supported rather than while standing at a counter. Unnecessary weight should be removed from purses, briefcases, or backpacks. If possible, purses or bags should be carried on the side opposite the dystonia.
Waist packs are often an ideal alternative to bags with straps or handles.
Stretching and Strengthening A physical therapist or physician is likely to demonstrate and prescribe exercises to stretch muscles and increase flexibility. Various types of strengthening exercises may be recommended to build up underused muscles and prevent weakening of the bones. Gordon and Schwarz acknowledge that a physician or therapist may use certain equipment to activate the muscles. Biofeedback involves using surface electrodes to identify and relax overly active muscles and to increase control and activation of the passive muscles. Stress Management Elements of stress management may be incorporated into a physical therapy program, and relaxation exercises may be tailored to address specific motor problems.