Effective Exercises For Neck Dystonia Relief
Effective Exercises For Neck Dystonia Relief Neck dystonia, also known as cervical dystonia, is a neurological condition that causes involuntary muscle contractions in the neck, resulting in abnormal head movements and severe discomfort. If you are living with neck dystonia, you understand the challenges it presents in daily life.Â
 Our team of experts, experienced in the management of cervical dystonia, has developed effective exercise programs to alleviate symptoms and enhance mobility. These exercises address the specific needs of your neck muscles and promote relaxation, reducing spasms and abnormal movements.
 Whether you are seeking relief from neck spasms, aiming to strengthen your neck muscles, or looking for relaxation techniques, our comprehensive approach is designed to support you on your journey to better health.
Get Free Consultation
ACIBADEM Health Point: The Future of Healthcare
We believe that everyone deserves access to quality healthcare, which is why we have established multiple branches in strategic locations. Whether you're in need of routine check-ups, specialized treatments, or emergency care, ACIBADEM Health Point is here for you.Understanding Neck Dystonia
Neck dystonia, also known as cervical dystonia, is a neurological disorder that affects the muscles and movement of the neck. It is characterized by involuntary muscle contractions, causing abnormal postures and repetitive movements of the head and neck. These movements can be painful and significantly impact an individual’s quality of life.
At Acibadem Healthcare Group, we understand the challenges faced by individuals with neck dystonia. Our team of experts specializes in providing effective solutions for cervical dystonia through a comprehensive approach that includes exercise therapy.
Exercise therapy plays a crucial role in managing neck dystonia. It involves a series of targeted exercises that help to alleviate muscle spasms, improve range of motion, and enhance overall neck stability. These exercises are designed to address the specific needs and limitations of each individual, ensuring a personalized and tailored approach to treatment.
ACIBADEM Health Point: Your Health is Our Priority!
ACIBADEM Health Point, we are dedicated to providing exceptional healthcare services to our patients. With a team of highly skilled medical professionals and state-of-the-art facilities, we strive to deliver the highest standard of care to improve the health and well-being of our patients. What sets ACIBADEM Health Point apart is our patient-centered approach. We prioritize your comfort, safety, and satisfaction throughout your healthcare journey. Our compassionate staff ensures that you receive personalized care tailored to your unique needs, making your experience with us as seamless and comfortable as possible.The Benefits of Neck Dystonia Exercises
Engaging in neck dystonia exercises can offer various benefits that contribute to symptom relief and improved quality of life. These benefits include:
- Reduced neck spasms and muscle tightness
- Improved muscle coordination and control
- Increased range of motion in the neck
- Enhanced postural stability
- Reduced pain and discomfort
By incorporating targeted exercises into your treatment plan, you can actively participate in managing your neck dystonia and experience positive outcomes.
Expertise in Cervical Dystonia Exercises
When it comes to cervical dystonia exercises, the Acibadem Healthcare Group is a trusted resource. Our team of healthcare professionals has extensive experience in providing rehabilitative care for individuals with neck dystonia.
At Acibadem, we understand that each person’s condition is unique, and our experts are skilled in designing personalized exercise programs tailored to individual needs. These programs focus on strengthening the neck muscles, improving mobility, and promoting relaxation to reduce dystonic symptoms.
Our commitment to delivering exceptional care and expertise in cervical dystonia exercises ensures that our patients receive the best possible outcomes. Through our comprehensive approach, we aim to empower individuals with neck dystonia to regain control of their lives and achieve improved functional abilities.
| The Benefits of Neck Dystonia Exercises at Acibadem Healthcare Group: | |
|---|---|
| Reduced neck spasms and muscle tightness | Improved muscle coordination and control |
| Increased range of motion in the neck | Enhanced postural stability |
| Reduced pain and discomfort | Improved quality of life |
Common Symptoms of Neck Dystonia
Neck dystonia is a neurological condition characterized by involuntary muscle contractions in the neck, resulting in various distressing symptoms. Understanding these common symptoms is crucial in identifying and managing the condition effectively. The Acibadem Healthcare Group, renowned for its expertise in cervical dystonia exercises, provides targeted solutions to address these symptoms.
Pain and Discomfort
One of the primary symptoms experienced by individuals with neck dystonia is neck pain. The persistent, often intense, pain can significantly impact daily functioning and quality of life. The Acibadem Healthcare Group offers specialized neck dystonia exercises designed to alleviate pain and provide relief through specific muscle-targeting techniques.
Muscle Spasms
Muscle spasms are a common manifestation of neck dystonia. These involuntary contractions can cause the neck muscles to twist or jerk, leading to involuntary head movements and abnormal postures. The Acibadem Healthcare Group’s expertise in cervical dystonia exercises includes techniques and exercises that effectively manage muscle spasms, promoting improved muscle control and reducing involuntary movements.
Abnormal Head Movements
Individuals with neck dystonia often experience abnormal head movements, such as tilting, rotating, or pulling of the head in certain directions. These movements can be distressing, affecting functionality and self-confidence. The Acibadem Healthcare Group collaborates with patients to develop personalized exercise routines that address abnormal head movements, promoting better control and reducing their impact on daily life.
By recognizing these common symptoms of neck dystonia, individuals can seek appropriate treatment and rehabilitation options to alleviate symptoms and improve their quality of life. The Acibadem Healthcare Group’s expertise in cervical dystonia exercises plays a crucial role in providing effective solutions tailored to each individual’s needs and goals.
Benefits of Neck Dystonia Exercises
Participating in targeted neck dystonia exercises offers numerous benefits for individuals seeking relief from symptoms such as neck spasms, muscle tension, and spasmodic torticollis. By incorporating these exercises into your routine, you can effectively manage and alleviate the discomfort caused by neck dystonia.
Reducing Neck Spasms
One of the primary benefits of neck dystonia exercises is their ability to reduce neck spasms. These exercises specifically target the muscles in the neck, promoting relaxation and relieving muscle tension. By consistently practicing these exercises, you can experience a significant reduction in the frequency and intensity of neck spasms.
Improving Muscle Relaxation
Neck dystonia exercises also contribute to improved muscle relaxation. The targeted movements and stretches help release built-up tension in the cervical muscles, allowing for greater flexibility and ease of movement. As a result, you will notice improved muscle relaxation and a reduction in the stiffness and rigidity often associated with neck dystonia.
Managing Spasmodic Torticollis
Spasmodic torticollis, characterized by involuntary muscle contractions causing the head to turn or twist abnormally, can be managed through consistent participation in neck dystonia exercises. These exercises strengthen the neck muscles and restore balance, ultimately reducing the severity and frequency of torticollis episodes.
By incorporating neck dystonia exercises into your daily routine, you can reap the benefits of reduced neck spasms, improved muscle relaxation, and effective management of spasmodic torticollis. Consult with a healthcare professional or a reputable institution like the Acibadem Healthcare Group to receive expert guidance and personalized exercises tailored to your specific needs.
| Benefit | Description |
|---|---|
| Reducing Neck Spasms | Targeted exercises relieve muscle tension and reduce the frequency and intensity of neck spasms. |
| Improving Muscle Relaxation | Exercise routines enhance muscle flexibility and promote relaxation, alleviating stiffness and rigidity. |
| Managing Spasmodic Torticollis | Consistent participation in exercises strengthens the neck muscles, effectively managing spasmodic torticollis and reducing abnormal head movements. |
Rehabilitation for Neck Dystonia
For individuals with neck dystonia, rehabilitation plays a crucial role in managing symptoms and improving quality of life. The rehabilitation process involves a combination of exercises, stretches, and relaxation techniques specifically designed to address torticollis and provide relief from neck cramps. By targeting the cervical muscles and promoting relaxation, these techniques aim to alleviate pain, reduce muscle spasms, and regain mobility.
Exercises for Torticollis
One of the key components of neck dystonia rehabilitation is performing exercises that target torticollis, the abnormal twisting or tilting of the neck. These exercises help to stretch and strengthen the affected muscles, gradually improving the alignment and range of motion in the neck. Working with a trained healthcare professional or physical therapist is essential to ensure proper technique and avoid any potential aggravation of symptoms.
Neck Cramp Relief Stretches
Neck cramps are a common symptom experienced by individuals with neck dystonia. Gentle stretches can provide much-needed relief by increasing blood flow to the affected muscles and relieving tension. Some effective stretches include gentle neck rotations, side-to-side head tilts, and chin-to-chest stretches. It is important to proceed with caution and not strain the neck during these stretches.
Cervical Muscle Relaxation Techniques
Cervical muscle relaxation techniques are an integral part of neck dystonia rehabilitation, as they help to alleviate muscle spasms and promote overall relaxation. Techniques such as deep breathing exercises, meditation, and progressive muscle relaxation can be incorporated into daily routines to manage stress and reduce muscle tension in the neck and shoulders. These techniques can also enhance the effectiveness of exercises and stretches for neck dystonia.
| Rehabilitation Techniques | Benefits |
|---|---|
| Exercises for Torticollis | • Stretches and strengthens affected muscles
• Improves alignment and range of motion • Reduces pain and muscle spasms |
| Neck Cramp Relief Stretches | • Increases blood flow to muscles
• Relieves tension and tightness • Provides immediate relief from cramps |
| Cervical Muscle Relaxation Techniques | • Alleviates muscle spasms
• Promotes relaxation and reduces stress • Enhances the effectiveness of other techniques |
Neck Dystonia Exercises for Mobility Improvement
Individuals with neck dystonia often experience limited mobility and range of motion in the neck muscles. However, through targeted exercises, it is possible to improve mobility and regain control over neck movements. Acibadem Healthcare Group, a trusted healthcare provider, offers comprehensive neck muscle dystonia rehabilitation programs to help individuals achieve better mobility and reduce dystonic symptoms.
When designing exercises for mobility improvement, it is important to consider the specific needs and capabilities of each individual. The Acibadem Healthcare Group’s team of experienced professionals tailors rehabilitation programs according to the patient’s condition and progress. These exercises focus on stretching, strengthening, and coordination of the neck muscles to enhance mobility and reduce muscle spasms and abnormal movements.
Parameters for assessing progress in neck dystonia exercises include the improvement in range of motion, reduction in pain and discomfort, and enhanced stability in neck movements. By tracking these parameters, the healthcare professionals at Acibadem Healthcare Group are able to monitor the effectiveness of the rehabilitation program and make necessary adjustments to ensure optimal results.
Below is a list of neck dystonia exercises that target mobility improvement:
- Neck stretches: Neck stretches help improve flexibility and increase the range of motion in the neck muscles. These stretches focus on gently elongating the neck muscles, relieving tension, and promoting better mobility.
- Active range of motion exercises: These exercises involve actively moving the neck through its full range of motion. They are designed to increase joint mobility and improve muscle coordination and control.
- Strengthening exercises: Strengthening the neck muscles is crucial for stability and improved mobility. These exercises target specific muscles to enhance their strength and endurance.
By regularly performing these exercises under the guidance of healthcare professionals, individuals with neck dystonia can experience significant improvements in mobility and overall quality of life. The expertise of the Acibadem Healthcare Group in providing effective neck dystonia exercises ensures comprehensive rehabilitation and support throughout the journey to better mobility.
| Exercise | Description |
|---|---|
| Neck stretches | Gentle stretching exercises that promote flexibility and improve range of motion in the neck muscles. |
| Active range of motion exercises | Exercises that involve actively moving the neck through its full range of motion to improve joint mobility and muscle coordination. |
| Strengthening exercises | Exercises that target specific neck muscles to enhance their strength and endurance, promoting stability and improved mobility. |
Strengthening Neck Muscles to Reduce Dystonic Symptoms
In the rehabilitation process for neck dystonia, strengthening the neck muscles plays a crucial role in reducing dystonic symptoms. These exercises are designed to improve overall neck stability and minimize abnormal head movements. By targeting specific muscles in the neck, individuals can experience significant relief and regain better control over their movements.
The Acibadem Healthcare Group, renowned for its expertise in neck dystonia exercises, offers a range of rehabilitation programs specifically tailored to strengthen neck muscles. These programs are designed by experienced physiotherapists who understand the unique challenges faced by individuals with neck dystonia.
The Importance of Neck Muscle Dystonia Rehabilitation
Neck muscle dystonia rehabilitation not only helps to alleviate symptomatic pain but also aids in improving muscle strength and flexibility. The targeted exercises provided by the Acibadem Healthcare Group are designed to:
- Strengthen the weakened neck muscles
- Improve overall neck stability and posture
- Enhance range of motion in the neck
- Reduce muscle spasms and abnormal movements
By regularly practicing these exercises, individuals with neck dystonia can significantly improve their quality of life and regain control over their neck movements.
An Example of Neck Muscle Dystonia Rehabilitation Exercise
One effective exercise recommended by the Acibadem Healthcare Group is the Neck Rotation Exercise. This exercise helps to strengthen the neck muscles and improve range of motion. Here’s how to perform the exercise:
- Sit upright in a chair with your back straight.
- Gently turn your head to the right as far as comfortable, while keeping your chin parallel to the ground.
- Hold the position for 10 seconds, feeling the stretch in your neck muscles.
- Slowly return your head to the center.
- Repeat the exercise on the other side by turning your head to the left.
Perform this exercise 10 times on each side, gradually increasing the duration of each stretch as your neck muscles become stronger.
Comparison of Different Neck Dystonia Exercises for Muscle Strengthening
| Exercise | Description | Targeted Muscles | Benefits |
|---|---|---|---|
| Neck Rotation Exercise | Gently turning the head from side to side | Neck rotators | Improves range of motion and strengthens the neck muscles |
| Neck Extension Exercise | Tilting the head backward, looking up toward the ceiling | Neck extensors | Strengthens the muscles at the back of the neck and improves posture |
| Neck Flexion Exercise | Bringing the chin toward the chest | Neck flexors | Strengthens the muscles at the front of the neck and improves flexibility |
These are just a few examples of neck dystonia exercises targeted at strengthening the neck muscles. It’s crucial to work with a qualified healthcare professional or physiotherapist to determine the most suitable exercises for your specific condition and to ensure proper technique and progression.
By incorporating neck muscle dystonia rehabilitation exercises into your daily routine, under professional guidance, you can experience significant improvements in reducing dystonic symptoms and enhancing overall neck function.
Relaxation Techniques for Neck Dystonia Management
Managing neck dystonia can be challenging, but incorporating relaxation techniques into your daily routine can help alleviate symptoms and enhance your overall well-being. This section provides step-by-step instructions for effective neck spasm stretches and emphasizes the importance of including these techniques in your neck dystonia exercises.
Neck Spasm Stretches
Neck spasm stretches target the tense muscles in your neck, promoting relaxation and reducing spasms. These stretches can be performed at home or under the guidance of a healthcare professional. Follow these instructions for effective neck spasm relief:
- Start by sitting or standing in a comfortable position with good posture.
- Tilt your head to one side, gently bringing your ear closer to your shoulder. Hold this position for 10-15 seconds.
- Return your head to the center and repeat the stretch on the opposite side.
- Continue alternating between each side for a total of 5-10 repetitions.
Remember to perform these stretches slowly and gently, avoiding any movement that causes pain or discomfort. Consistency is key, so aim to include these neck spasm stretches in your daily routine to experience long-term relief.
In addition to neck spasm stretches, it’s essential to incorporate cervical muscle relaxation techniques into your neck dystonia exercises. These techniques focus on easing tension and promoting relaxation in the cervical muscles, providing relief from symptoms. Consult with your healthcare professional or physical therapist to learn specific exercises tailored to your needs.
As with any exercise or stretching regimen, it’s important to listen to your body. If you experience increased pain or discomfort during any of these techniques, discontinue immediately and consult with a healthcare professional.
Now that you have learned effective relaxation techniques for managing neck dystonia, let’s explore additional therapies and support options available to individuals dealing with this condition in the next section.
Additional Therapies and Support for Neck Dystonia
Acibadem Healthcare Group offers a range of additional therapies and support options for individuals with neck dystonia. In addition to neck dystonia exercises, comprehensive treatment approaches that include spasmodic torticollis therapy are key to managing and improving symptoms.
Physical Therapy
Physical therapy plays a vital role in the management of neck dystonia. Skilled therapists at Acibadem Healthcare Group utilize various techniques to improve muscle strength, flexibility, and range of motion. Through personalized treatment plans, patients can experience relief from neck pain, better muscle control, and enhanced overall function.
Botulinum Toxin Injections
Botulinum toxin injections have been proven to be an effective treatment option for neck dystonia. Administered by skilled healthcare professionals, these injections help relax the muscles responsible for abnormal head movements, reducing pain and improving quality of life. Acibadem Healthcare Group has a dedicated team of neurologists experienced in this therapy.
Medication
Medication may be prescribed as part of the treatment plan for neck dystonia. Acibadem Healthcare Group’s neurologists carefully evaluate each patient’s condition and prescribe appropriate medications to help manage symptoms. The goal is to achieve a balance between symptom relief and managing potential side effects.
Psychotherapy and Support Groups
Living with neck dystonia can be challenging, both physically and emotionally. Acibadem Healthcare Group recognizes the importance of addressing the psychological impact of the condition. Psychotherapy, including cognitive-behavioral therapy, can provide coping strategies and emotional support. Joining support groups can also be beneficial, as it allows individuals to connect with others facing similar challenges.
Complementary Therapies
In addition to conventional treatments, Acibadem Healthcare Group offers complementary therapies to support individuals with neck dystonia. These may include relaxation techniques, acupuncture, and massage therapy. These therapies help reduce muscle tension, promote relaxation, and complement the effects of other treatment modalities.
Patient Education and Resources
Education and access to resources are crucial for individuals with neck dystonia. Acibadem Healthcare Group provides comprehensive patient education, equipping patients with knowledge about their condition and empowering them to actively participate in their treatment. The group also offers resources such as informational materials and online support platforms.
| Additional Therapies | Benefits |
|---|---|
| Physical Therapy | – Improved muscle strength and flexibility
– Pain relief – Enhanced range of motion |
| Botulinum Toxin Injections | – Relaxation of muscles responsible for abnormal head movements
– Pain reduction – Improved quality of life |
| Medication | – Symptom management
– Balance between relief and side effects |
| Psychotherapy and Support Groups | – Coping strategies and emotional support
– Connection with others facing similar challenges |
| Complementary Therapies | – Reduction of muscle tension
– Relaxation promotion – Complement to other treatments |
| Patient Education and Resources | – Empowerment through knowledge
– Access to information and support |
Lifestyle Modifications for Neck Dystonia Management
In addition to targeted neck dystonia exercises, making certain lifestyle modifications can enhance symptom management and overall well-being. By incorporating cervical muscle relaxation techniques into your everyday activities and integrating neck cramp relief stretches into your routine, you can experience improved relief and better quality of life.
Cervical muscle relaxation techniques involve consciously relaxing the muscles in your neck and shoulders to alleviate tension and reduce spasms. These techniques can be practiced throughout the day, whether you’re at work, at home, or even while commuting. Taking regular breaks to stretch your neck muscles and practicing deep breathing exercises can also help promote relaxation and relieve muscle tightness.
Incorporating neck cramp relief stretches into your daily routine can provide relief from the discomfort associated with neck dystonia. These stretches focus on gently stretching and lengthening the neck muscles to alleviate cramping and improve flexibility. It is essential to perform these stretches under the guidance of a qualified healthcare professional to ensure proper technique and prevent any potential injury.
By combining these lifestyle modifications with targeted neck dystonia exercises, you can optimize your management of neck dystonia and enhance your overall well-being. Remember to consult with a healthcare professional before starting any exercise or stretching routine to ensure it is safe and effective for your specific condition.
Recommended Cervical Muscle Relaxation Techniques:
- Shoulder Rolls: Sit or stand with your back straight. Roll both shoulders backward in a circular motion, then reverse the direction. Repeat this movement for several seconds to encourage relaxation in the neck muscles.
- Neck Stretch: Gently tilt your head to one side, bringing your ear towards your shoulder. Hold the stretch for 15-20 seconds, then repeat on the other side. This stretch can be performed multiple times throughout the day to relieve tension in the neck muscles.
Neck Cramp Relief Stretches:
- Chin Tuck: While sitting or standing with your back straight, gently tuck your chin towards your chest and hold the position for 10-15 seconds. This stretch helps to lengthen the muscles at the back of the neck and alleviate cramping.
- Head Rotation: Slowly turn your head to one side, aiming to bring your chin over your shoulder. Hold this position for 10-15 seconds, then repeat on the other side. Performing this stretch multiple times can help release tension and reduce cramping in the neck muscles.
Remember to listen to your body and stop any exercise or stretch that causes pain or discomfort. If you experience persistent or worsening symptoms, it is essential to seek medical advice from a healthcare professional who specializes in treating neck dystonia, such as the dedicated experts at Acibadem Healthcare Group.
Professional Recommendations and Advice
When it comes to managing neck dystonia, it is crucial to seek professional recommendations and expert advice. The Acibadem Healthcare Group is a leading provider of comprehensive solutions for individuals with neck dystonia, offering specialized care and expertise in spasmodic torticollis therapy.
The Acibadem Healthcare Group’s approach to neck dystonia focuses on a holistic treatment plan that includes a combination of targeted exercises, therapies, and support. They understand the unique challenges faced by individuals with neck dystonia and work closely with patients to develop personalized treatment strategies.
Why Choose Acibadem Healthcare Group?
- The Acibadem Healthcare Group has a team of highly trained and experienced healthcare professionals who specialize in neck dystonia.
- They provide evidence-based neck dystonia exercises that are designed to improve mobility and reduce symptoms.
- Their spasmodic torticollis therapy options are tailored to meet the individual needs of each patient, ensuring comprehensive and effective treatment.
- Acibadem is known for its patient-centered approach, prioritizing the well-being and comfort of individuals with neck dystonia.
By partnering with the Acibadem Healthcare Group, you can rest assured that you will receive the highest level of care and support for your neck dystonia. Their expertise in providing effective solutions, including neck dystonia exercises and spasmodic torticollis therapy, can greatly improve your quality of life and help you manage this condition more effectively.
Don’t let neck dystonia hold you back. Take the first step towards relief and consult with the Acibadem Healthcare Group today.
| Benefits of Choosing Acibadem Healthcare Group for Neck Dystonia: |
|---|
| Highly trained and experienced healthcare professionals specialized in neck dystonia |
| Evidence-based neck dystonia exercises to improve mobility and reduce symptoms |
| Personalized spasmodic torticollis therapy options |
| Patient-centered approach prioritizing well-being and comfort |
Conclusion
By specifically addressing the underlying muscle dysfunction, these exercises can help improve mobility, reduce spasms, and enhance overall neck stability.
 Their comprehensive approach to rehabilitation and therapy ensures that individuals with neck dystonia receive the support they need to regain control over their symptoms and improve their quality of life.
Whether it’s stretching and strengthening exercises or relaxation techniques, incorporating these targeted exercises into a daily routine can have a significant positive impact on managing neck dystonia. Along with lifestyle modifications and additional therapies, such as the spasmodic torticollis therapy provided by the Acibadem Healthcare Group, individuals can take a proactive approach to their treatment.
Remember, finding the right exercises and treatment options may require the guidance of a healthcare professional. By partnering with experts like the Acibadem Healthcare Group, individuals with neck dystonia can access the expertise and support necessary to overcome the challenges posed by this condition and improve their overall well-being.
FAQ
What is neck dystonia?
Neck dystonia, also known as cervical dystonia, is a neurological disorder characterized by involuntary muscle contractions in the neck, leading to abnormal movements and postures. It can cause pain and discomfort and significantly impact an individual's quality of life.
Why are neck dystonia exercises important?
Neck dystonia exercises play a crucial role in managing the symptoms of the condition and improving overall neck mobility. These exercises help to strengthen and stretch the affected muscles, reduce spasms, and restore normal movement patterns in the neck.
How can Acibadem Healthcare Group help with cervical dystonia exercises?
Acibadem Healthcare Group is an esteemed healthcare provider known for its expertise in treating cervical dystonia. They offer specialized rehabilitation programs that include targeted exercises, personalized treatment plans, and comprehensive support to help individuals with neck dystonia achieve relief and improve their quality of life.
ACIBADEM Healthcare Group Hospitals and Clinics
With a network of hospitals and clinics across 5 countries, including 40 hospitals, ACIBADEM Healthcare Group has a global presence that allows us to provide comprehensive healthcare services to patients from around the world. With over 25,000 dedicated employees, we have the expertise and resources to deliver unparalleled healthcare experiences. Our mission is to ensure that each patient receives the best possible care, supported by our commitment to healthcare excellence and international healthcare standards. Ready to take the first step towards a healthier future? Contact us now to schedule your Free Consultation Health session. Our friendly team is eager to assist you and provide the guidance you need to make informed decisions about your well-being. Click To Call Now !*The information on our website is not intended to direct people to diagnosis and treatment. Do not carry out all your diagnosis and treatment procedures without consulting your doctor. The contents do not contain information about the therapeutic health services of ACIBADEM Health Group.