Patients with dystonia may not always respond to one type of treatment, so multiple therapeutic procedures may be combined for the most effective care. Physical therapy, while not curative, is an excellent adjunct to treatment that can help with strengthening and help prevent severe muscle contractions, as well as help alleviate pain. Occupational therapy can be useful in finding better ways to do every day tasks without pain. Speech therapy can help to increase voice volume and improve swallowing difficulties. Some patients report help from gentle exercise like Tai Chi, yoga, lightweight training and swimming. In addition, support groups are often an excellent source of information and provide a great forum for patients to share their own experience with the disease.