Dystonia is a movement disorder characterised by involuntary muscle activity in a specific parts of the body. There are many forms of genetic and idiopathic dystonia which many believe to be caused by some form of maladaptive neuroplasticity either spontaneously over time, or following trauma, and can also occur in professional musicians following years of intense practice. The aim of Neuro Physiotherapy is to establish which muscles are involved, the response to intrinsic and extrinsic stimuli and determine other secondary movement compensations. While botulinum toxin can be helpful for many people with dystonia, learning additional movement strategies and strengthening various, specific muscle synergies can further enhance physical rehabilitation.