Retrocollis and opisthotonic posturing are typical clinical features of tardive dystonia and may be extremely disabling. We have treated five such patients with a custom-made mechanical device that delivers constant contact to the occiput and shoulders. All patients experienced relief and their walking improved. This geste device, working like a geste antagonistique, may be useful for the management of some patients with severe axial dystonia with retrocollis and back arching.