The Role of Congenital Muscular Torticollis in the Development of Deformational Plagiocephaly

2009 ◽  
Vol 123 (2) ◽  
pp. 643-652 ◽  
Author(s):  
Gary F. Rogers ◽  
Albert K. Oh ◽  
John B. Mulliken
Keyword(s):  
Deformational Plagiocephaly ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

Description of Mandibular Improvements in a Series of Infants With Congenital Muscular Torticollis and Deformational Plagiocephaly Treated With Physical Therapy

2018 ◽  
Vol 55 (9) ◽  
pp. 1282-1288
Author(s):  
Regina Fenton ◽  
Susan Gaetani ◽  
Zoe MacIsaac ◽  
Eric Ludwick ◽  
Lorelei Grunwaldt
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Late Onset ◽  
Ct Scans ◽  
3D Ct ◽  
Deformational Plagiocephaly ◽  
Congenital Muscular Torticollis ◽  
3D Ct Scan ◽  
Small Cohort ◽  
Muscular Torticollis

Background: Many infants with congenital muscular torticollis (CMT) have deformational plagiocephaly (DP), and a small cohort also demonstrate mandibular asymmetry (MA). The aim of this retrospective study was to evaluate mandibular changes in these infants with previous computed tomography (CT) scans who underwent physical therapy (PT) to treat CMT. Methods: A retrospective study included patients presenting to a pediatric plastic surgery clinic from December 2010 to June 2012 with CMT, DP, and MA. A small subset of these patients initially received a 3D CT scan due to concern for craniosynostosis. An even smaller subset of these patients subsequently received a second 3D CT scan to evaluate for late-onset craniosynostosis. Patients were treated with PT for at least 4 months for CMT. Initial CT scans were retrospectively compared to subsequent CT scans to determine ramal height asymmetry changes. Clinical documentation was reviewed for evidence of MA changes, CMT improvement, and duration of PT. Results: Ten patients met inclusion criteria. Ramal height ratio (affected/unaffected) on initial CT was 0.87, which significantly improved on subsequent CT to 0.93 ( P < .05). None of the patients were diagnosed with craniosynostosis on initial CT. One patient was diagnosed with late-onset coronal craniosynostosis on subsequent CT. Conclusions: We identified a small cohort of infants with MA, CMT, and DP. These patients uniformly demonstrated decreased ramal height ipsilateral to the affected sternocleidomastoid muscle. Ramal asymmetry measured by ramal height ratios improved in all infants undergoing PT.

Management of Infants with Congenital Muscular Torticollis

2018 ◽  
Vol 17 (04) ◽  
pp. 138-142
Author(s):  
Zheralldin Durguti ◽  
Ardiana Murtezani ◽  
Lidvana Spahiu ◽  
Teuta Durguti ◽  
Eqrem Gara
Keyword(s):  
Physical Therapy ◽  
Mean Difference ◽  
Chi Square ◽  
Congenital Muscular Torticollis ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Mean ◽  
Muscular Torticollis ◽  
Therapy Clinic

AbstractCongenital muscular torticollis (CMT) is a deformation characterized by unilateral shortening of the sternocleidomastoid muscle resulting in lateral inclination of the neck associated with contralateral torsion. The purpose of this study was to assess the role of physical therapy in infants with CMT according to the age when treatment was started. The study was conducted in the Physical Therapy Clinic “Therapy” in Pristina for a period of 1 year from June 2016 to June 2017. The number of infants diagnosed with a CMT was 130 (71 girls and 59 boys). The infants were examined two times during the study period. The first visit was at the baseline and the second after the intervention. Three comparative groups are created based on time to start treatment. The infants were treated for 3 consecutive weeks with five sessions per week with the same therapeutic procedure. In the first examination of infants, there was no significant difference between the groups (chi-square test = 0.78, p = 0.08), whereas in the second examination after the 15 therapeutic sessions there was significant difference in the improvement of all the groups treated with physical therapy. Significant result was achieved in mean range of motion in infants of the group aged 3.1 to 6 months (mean = –35.9 ± 12.3, 95% confidence interval [CI], –39.3 to –32.4, p < 0.001) and in the mean side flexion of group aged 3.1 to 6 months (mean difference = –24.5 ± 7.9, 95% CI, –16.9 to –9.7, p < 0.001). While exercises in the 6- to 9-month age group have shown less success, because the time of appearance for physical therapy has been delayed (mean difference = –23.5 ± 10.7, 95% CI, –15.6 to –8.4, p < 0.001). From the results obtained from this study, we can conclude that the early start of the physical therapy gives much better results.

Evaluation of the Clinical Role of Strain Elastography in Patients Diagnosed With Congenital Torticollis

2021 ◽  
pp. 875647932098324
Author(s):  
Elif Özyazici Özkan ◽  
Mehmet Burak Ozkan ◽  
İshak Abdurrahman İsik
Keyword(s):  
Area Under The Curve ◽  
Muscle Group ◽  
Receiver Operating Curve ◽  
Control Group ◽  
Clinical Role ◽  
Congenital Muscular Torticollis ◽  
Cutoff Value ◽  
Strain Elastography ◽  
Specificity And Sensitivity ◽  
Muscular Torticollis

Objective: The objective of this study was to determine the elasticity of sternocleidomastoid muscle (SCM) in patients with congenital muscular torticollis (CMT). Methods: In all, 41 patients and 22 controls were included in the study, and the elasticity of the patients’ SCM was measured. Echogenicity, thickness, and strain values of the SCM were also obtained. Results: The thickness and strain values of the SCM were higher in the patient group than in the control group ( P = .02 and P = .15). For median values, there was no difference in echogenicity and strain. In the strain elastography evaluation of the receiver operating curve (ROC) for muscle echogenicity in the isoechoic muscle group, the specificity and sensitivity were determined to be 100% and 22%, respectively, for the area under the curve (AOC) value of 0.558 (95% confidence interval [CI], 0.424–0.6686), and the cutoff value was <1.4. In the hyperechoic muscle group, the ROC for AUC values was found to be 0.542 (95% CI, 0.411–0.6686), and the cutoff value was >1.4 with 100% sensitivity and 20.75 specificity. Conclusions: The strain elastography technique can be used in the diagnosis of CMT.

Cervical Spine Subluxation Associated with Congenital Muscular Torticollis and Craniofacial Asymmetry

1993 ◽  
Vol 91 (7) ◽  
pp. 1196-1197
Author(s):  
R. Kendrick Slate ◽  
Jeffrey C. Posnick ◽  
Derek C. Armstrong ◽  
J. Raymond Buncic ◽  
Milton T. Edgerton
Keyword(s):  
Cervical Spine ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

Familial Congenital Muscular Torticollis

1986 ◽  
Vol &NA; (202) ◽  
pp. 193???196 ◽  
Author(s):  
F. THOMPSON ◽  
S. MCMANUS ◽  
J. COLVILLE
Keyword(s):  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

Application of Ultrasonography During Sternocleidomastoid Muscle Release for Congenital Muscular Torticollis

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Hyonmin Choe ◽  
Naomi Kobayashi ◽  
Masatoshi Oba ◽  
Akira Morita ◽  
Koki Abe ◽  
...  
Keyword(s):  
Sternocleidomastoid Muscle ◽  
Congenital Muscular Torticollis ◽  
Muscular Torticollis

scholarly journals CLINICAL CHARACTERISTICS AND KINESITHERAPY TREATMENT OF CONGENITAL TORTICOLLIS MUSCULAR

2017 ◽  
Vol 10 (8) ◽  
pp. 366
Author(s):  
Zheralldin Durguti ◽  
Ardiana Murtezani ◽  
Eqrem Gara ◽  
Teuta Durguti
Keyword(s):  
Clinical Characteristics ◽  
Age Group ◽  
Physical Treatment ◽  
Significant Difference ◽  
Congenital Torticollis ◽  
In The Beginning ◽  
Muscular Torticollis ◽  
Neck Mobility ◽  
Therapy Clinic

  Objective: Torticollis is a deformity characterized by the lateral flexion of the head to the arm on the side of the localization of deformity and its rotation on the opposite side. The aim of this paper is to identify the clinical characteristics that have an impact on the progression of the congenital muscular cramping, as well as to show the role of kinesitherapy in the treatment of torticollis.Methods: The research was conducted in the “Therapy” - Physical Therapy Clinic in Pristina, in the 2-year period since February 2014 until 2016. The total number of infants diagnosed with torticollis is 160, ranging from 0 to 9 months. At the beginning of the research, the examinations of all infants were performed, all the necessary tests, measurements, and motor functions. Afterward, they were rehabilitated for 3 consecutive weeks with 5 sessions per week, a total of 15 sessions for each. After the rehabilitation was completed, over again, the same tests were made as it was done in the beginning. Questionnaires were completed on the first and last visit for all infants.Results: In the first visit of the infants’ examination, there was no significant difference between the groups (Chi-test=0.96, p=0.1), whereas in the second examination, after 15 rehabilitation sessions, there was a significant difference in improvement of all the treated groups with kinesiotherapy. Significant result was achieved in mobility where at the beginning of the treatment, there was a very large limitation of neck mobility (different mean = −31.0±10.0.95% CI: 33.7-−28.2, p<0.001). A small limitation of mobility remained only among some third-degree infants in the 6-9 month age group because of the time appearance for physical treatment was delayed (different mean = −27.8±12.6, 95%, CI: 31.2-−24.4, p<0.001).Conclusion: From the results of our research on kinesiotherapy with infant toddlers with torticollis, we conclude that kinesitherapy has a primary and very successful effect on the treatment of babies with muscular torticollis.

Sign in / Sign up

Export Citation Format

Share Document