Hi Laurel. I have trained many clients with similar symptoms as Dystonia. I agree with Ariadne. Seek her physicians or her P.T. input. this is helpful. the only thing I might add is that each body part to be exercised should be viewed closely. And her aerobic conditioning should be too. Client feedback is important but, perceived exertion is just as important. Many clients wish to push to hard and, this is not good for their health. Sometimes I have had to reduce their program and increase it the next session. Each session can be different for them with regards to their muscle strength. I find it important to constantly view the aforementioned. Hope this helps. Brian Rozzi.