A randomized, single-blinded pilot study evaluating the effects of kinesiology taping and the tape application techniques in addition to therapeutic exercises in the treatment of congenital muscular torticollis

2016 ◽  
Vol 31 (8) ◽  
pp. 1098-1106 ◽  
Author(s):  
Esra Giray ◽  
Evrim Karadag-Saygi ◽  
Basak Mansiz-Kaplan ◽  
Duygu Tokgoz ◽  
Ozun Bayindir ◽  
...  
Keyword(s):  
Post Treatment ◽  
Outpatient Rehabilitation ◽  
Neck Muscle ◽  
Congenital Muscular Torticollis ◽  
Affected Side ◽  
Therapeutic Exercises ◽  
Application Techniques ◽  
Group 3 ◽  
Muscular Torticollis ◽  
Inhibition Technique

Objective: To investigate the effects of kinesiology taping and different types of application techniques of kinesiology taping in addition to therapeutic exercises in the treatment of congenital muscular torticollis. Design: Prospective, single blind, randomized controlled trial. Setting: An outpatient rehabilitation clinic in a tertiary university hospital. Subjects: Infants with congenital muscular torticollis aged 3-12 months. Interventions: Group 1 included 11 infants who only received exercises, Group 2 included 12 infants who received kinesiology taping applied on the affected side by using inhibition technique in addition to exercises. Group 3 included 10 infants who additionally received kinesiology taping applied on the unaffected side by using facilitation technique and on the affected side by using inhibition technique. Main measures: Range of motion in lateral flexion and rotation of the neck, muscle function and degree of craniofacial changes were assessed at pretreatment, post treatment and, 1 month and 3 months’ post treatment. Results: Friedman analysis of within-group changes over time revealed significant differences for all of the outcome variables in all groups except cervical rotation in Group 3 ( P<0.05). No significant differences were found between groups at any of the follow-up time points for any of the outcome variables ( P>0.05). Conclusions: There is no any additive effect of kinesiology taping to exercises for the treatment of congenital muscular torticollis. Also different techniques of applying kinesiology taping resulted in similar clinical outcomes.

scholarly journals TORTIKOLIS MUSKULAR KONGENITAL

2014 ◽  
Vol 5 (3) ◽  
Author(s):  
Imelda E. Kawatu ◽  
Engeline Angliadi
Keyword(s):  
Muscle Hypertrophy ◽  
Limited Range ◽  
Neck Muscle ◽  
Congenital Muscular Torticollis ◽  
Limited Range Of Motion ◽  
Good Improvement ◽  
The Right ◽  
Surgical Treatments ◽  
Muscular Torticollis ◽  
Fetal Position

Abstract: Torticollis, or wryneck, is a group of symptoms based on many causes that clinically manifests itself as a crooked or rotated neck. Congenital muscular torticollis is the most common type of congenital torticolllis which occurs in four per 1000 births and one per 300 live births with 75% of these cases on the right side. It was found that 90.1% of plagiocephalic cases incured this torticollis. In this condition, due to contractions of the neck muscles, the head turns and tilts to one side, meanwhile the chin points to the opposite side. Congenital muscular torticollis is caused by a shortening of the sternocleidomastoid muscle due to trauma during labour or abnormal fetal position in utero. Signs and symtoms of congenital muscular torticollis are recognized as early as two months after birth in which the head turns to one side associated with neck muscle hypertrophy, muscle spasm, and a limited range of motion (ROM). The management of congenital muscular torticollis consists of pharmacological, non-pharmacological, and surgical treatments. The prognosis is stated as good if there is a good improvement after 6 months of rehabilitation, but it is stated bad if there is no improvement after 6 months of treatment with a continuation of the asymetrical face. Keywords: congenital muscular torticollis, management   Abstrak: Tortikolis adalah kekakuan leher yang menimbulkan spasme otot yang secara klinis bermanifestasi sebagai leher yang bengkok atau terputar. Tortikolis bukan merupakan suatu diagnosis melainkan kumpulan gejala dengan berbagai gangguan yang mendasarinya. Tortikolis muskular kongenital ialah bentuk yang paling umum dari tortikolis kongenital dengan insiden sekitar 4 per 1000 kelahiran, dan 1 dari setiap 300 kelahiran hidup. Pada tortikolis muskular kongenital terjadi kontraksi otot-otot leher (75% terbanyak pada sisi kanan) yang menyebabkan posisi kepala turn dan tilt ke satu sisi dan dagu mengarah ke sisi yang berlawanan. Penyebab terjadinya tortikolis muskular kongenital ialah pemendekan otot sternokleidomastoid akibat trauma selama proses persalinan, atau posisi bayi dalam kandungan. Umumnya, gejala dan tanda klinis diketahui pada 2 bulan pertama dimana kepala mengarah ke arah sisi sakit, pembesaran otot-otot leher, spasme otot, dan keterbatasan lingkup gerak sendi leher. Penanganan tortikolis muskular kongenital terdiri dari farmakologis, non-farmakologis, dan pembedahan. Prognosis disebut baik bila tercapai hasil yang baik setelah 6 bulan terapi dengan penanganan rehabilitasi, dan memburuk bila tidak terdapat perubahan dalam 6 bulan terapi ditandai oleh wajah yang asimetris. Kata kunci: tortikolis muskular kongenital, penanganan

Congenital Muscular Torticollis

1996 ◽  
Vol 17 (10) ◽  
pp. 374-375
Author(s):  
Nathaniel H. Robin
Keyword(s):  
Range Of Motion ◽  
Head Tilt ◽  
Facial Asymmetry ◽  
Newborn Period ◽  
Congenital Muscular Torticollis ◽  
Thoracic Scoliosis ◽  
Affected Side ◽  
Head Control ◽  
Muscular Torticollis

Congenital muscular torticollis (CMT) refers to unilateral contracture of the sternocleidomastoid (SCM) muscle that restricts the infant's range of motion at the neck, with the head tilted toward the shortened SCM and the chin rotated to point away from the affected side. Although a mass often is palpable in the inferior part of the affected SCM, in many cases this is not appreciated in the immediate newborn period; the condition may be recognized only as the infant develops better head control over the first few weeks of life, making the head tilt more obvious. Potential complications of CMT include facial asymmetry and plagiocephaly from the uneven tension produced by the contracted SCM as well as cervical scoliosis, with a compensatory thoracic scoliosis.

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

A prolonged antibiotic protocol to treat persistent Chlamydophila pneumoniae infection improves the extracranial venous circulation in multiple sclerosis

2017 ◽  
Vol 33 (6) ◽  
pp. 397-406 ◽  
Author(s):  
Paul Thibault ◽  
John Attia ◽  
Chris Oldmeadow
Keyword(s):  
Multiple Sclerosis ◽  
Blood Flow ◽  
Chlamydophila Pneumoniae ◽  
Post Treatment ◽  
Mean Difference ◽  
Arterial Blood Flow ◽  
Volume Data ◽  
Mean Flow ◽  
Arterial Blood ◽  
Affected Side

Objective Chronic cerebrospinal venous insufficiency (CCSVI) is a condition associated with multiple sclerosis (MS). One mechanism that has been proposed is that the venous obstructions found in MS are due to a chronic persistent venulitis caused by the intra-cellular bacterial parasite, Chlamydophila pneumoniae (Cpn). The objective of the current study is to determine the effect of a combined antibiotic protocol (CAP) on the venous flow in MS patients as measured by a quantitative duplex ultrasound examination (QDUS). Method A non-randomised before-after cohort study was conducted to investigate differences in blood flow volumes pre and 6-months post antibiotic treatment for Cpn infection. Flow volume data were measured by QDUS across affected and unaffected sides from multiple veins segments, including internal jugular vein (IJV) segments J2 and J3, and vertebral vein (VV), as well as global arterial blood flow (GABF). Results 91 patients were included in the study. 64 (70%) were found to have positive Cpn serology. There was a statistically significant post-treatment difference seen for the affected side of Cpn infected patients (mean difference = 56 mL/min, p = 0.02). There was a non-significant increase seen for the affected side of uninfected patients (mean difference = 23 mL/min, p = 0.2). The difference in these effects (34 mL/min) was not statistically significant ( p = 0.3). The mean flow rate decreased in the unaffected side for both infected (−27 mL/min, p = 0.5) and uninfected patients (−69 mL/min, p = 0.01). There was a statistically significant post-treatment increase in GABF for the infected patients (mean difference = 90 mL/min, p = 0.02) and a difference of 76 mL/min for non-infected patients ( p = 0.01). Conclusion A CAP appears to improve the extra-cranial circulation in patients diagnosed with MS. This effect is statistically significant in patients with positive Cpn serology, although patients with negative Cpn serology also show some benefit, betraying a lack of specificity of this effect.

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
Sign in / Sign up

Export Citation Format

Share Document