Hypertonia, the sleeping position will usually be shown in the manifestation of abnormal sleeping position, as the name suggests hypertonia is followed by abnormal contractions. Depending on the degree of dystonia, the degree to which it manifests itself in an abnormal sleeping position varies. In general, high muscle tone is characterized by greater impedance. The degree of hypertonia varies, with some patients presenting with crossed legs, some with tightening of the chest, some with a twitch-like pattern, and some with upper extremity abnormalities along with crossed legs. Overall, the degree of dystonia varies and the sleeping position will have different clinical manifestations, but patients with dystonia should be placed in a comfortable sleeping position, which facilitates the patient’s sensation and helps to alleviate the adverse effects due to dystonia.