scholarly journals Congenital muscular torticollis - a proposal for treatment and physiotherapy

2019 ◽  
Vol 23 (3) ◽  
pp. 21-30
Author(s):  
Agata Michalska ◽  
Zbigniew Śliwiński ◽  
Justyna Pogorzelska ◽  
Marek Grabski ◽  
Jolanta Dudek ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Motor Development ◽  
Muscle Tone ◽  
Early Recognition ◽  
General Scheme ◽  
Review Literature ◽  
Clinical Form ◽  
Congenital Muscular Torticollis ◽  
Home Based ◽  
Muscular Torticollis

Congenital muscular torticollis (CMT) is a condition manifested by unilateral thickening and/or shortening of the sternocleidomastoid muscle. It can lead to local or global consequences (i.e., forced position and limitation of mobility of the cervical spine and head, delay of motor development). Early recognition of CMT symptoms and the implementation of conservative treatment, considered effective in the majority of cases, are an important part of physical therapy in CMT. The aim of the study is to review literature presenting the methods of physical therapy in CMT and to create the authors’ own proposals for treatment, based on the results of this review. Based on subject-matter literature and our own experience, algorithms for the rehabilitation procedure have been proposed, presenting the general scheme of action in CMT and management depending on the clinical form and age of the child in whom therapy was started (up to 5 months and after 6 months). The authors’ proposed algorithm did not strictly specify the frequency of sessions with a physiotherapist, because this is the resultant of many factors. The main ones include the child's age on the day of initiation of therapy, the clinical form of torticollis, the presence of muscle tone disorders and/or skull asymmetry, but also, the correctness of performing exercises proposed as part of the home-based programme, regularity of therapy and compliance with postural programme principles.

scholarly journals Physical Therapy Management of Congenital Muscular Torticollis

2018 ◽  
Vol 30 (4) ◽  
pp. 240-290 ◽  
Author(s):  
Sandra L. Kaplan ◽  
Colleen Coulter ◽  
Barbara Sargent
Keyword(s):  
Physical Therapy ◽  
Congenital Muscular Torticollis ◽  
Therapy Management ◽  
Muscular Torticollis

scholarly journals Changes in Muscle Stiffness in Infants with Congenital Muscular Torticollis

Diagnostics ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 158
Author(s):  
Hwang ◽  
Shin ◽  
Choi ◽  
Jung ◽  
Yang
Keyword(s):  
Physical Therapy ◽  
Acoustic Radiation ◽  
Quantitative Measure ◽  
Muscle Thickness ◽  
Radiation Force ◽  
Muscle Stiffness ◽  
Acoustic Radiation Force Impulse ◽  
Congenital Muscular Torticollis ◽  
Arfi Elastography ◽  
Muscular Torticollis

Congenital muscular torticollis (CMT) results from unilateral shortening of the sternocleidomastoid (SCM) muscle, usually associated with a fibrotic mass. Although CMT may resolve with physical therapy, some cases persist, resulting in long-term musculoskeletal problems. It is therefore helpful to be able to monitor and predict the outcomes of physical therapy. Shear-wave velocity (SWV) determined by acoustic radiation force impulse (ARFI) elastography can provide a quantitative measure of muscle stiffness. We therefore measured SCM SWV in 22 infants with unilateral CMT before and after 3 months of physical therapy and evaluated the relationships between SWV and SCM thickness and various clinical features, including cervical range of motion (ROM). SWV was initially higher and the ROM was smaller in affected muscles before physical therapy. SWV decreased significantly (2.33 ± 0.47 to 1.56 ± 0.63 m/s, p < 0.001), indicating reduced stiffness, and muscle thickness also decreased after physical therapy (15.64 ± 5.24 to 11.36 ± 5.71 mm, p < 0.001), both in line with increased neck ROM of rotation (64.77 ± 18.87 to 87.27 ± 6.31°, p < 0.001) and lateral flexion (37.50 ± 11.31 to 53.64 ± 9.41°, p < 0.001). However, the improved ROM more closely reflected the changes in SWV than in muscle thickness. These results suggest that a change in SWV detected by ARFI elastography could help to predict improvements in clinical outcomes, such as stiffness-related loss of motion, in patients with CMT undergoing physical therapy.

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.

scholarly journals Considerations for Testing and Treating Children with Central Vestibular Impairments

2018 ◽  
Vol 39 (03) ◽  
pp. 321-333 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Motor Development ◽  
Developmental Coordination Disorder ◽  
Vestibular Function ◽  
Congenital Muscular Torticollis ◽  
Gaze Stabilization ◽  
Hyperactivity Disorder ◽  
Develop Technology ◽  
Muscular Torticollis ◽  
Coordination Disorder ◽  
Function Testing

AbstractThis perspective explores common pediatric diagnoses that could present with central vestibular pathway dysfunction, leading to delays in motor development and postural control, and gaze instability. Specifically, the following diagnoses are considered: cerebral palsy, myelomeningocele, vestibular migraine, attention-deficit hyperactivity disorder, developmental coordination disorder, concussion, childhood cancer, congenital muscular torticollis, adolescent idiopathic scoliosis, and autism. Suggestions for clinical screening, vestibular function testing, and vestibular rehabilitation for children with these diagnoses are based on evidence for the efficacy of testing and interventions for children with peripheral vestibular hypofunction. More research is needed to explore peripheral and central vestibular function in children with these diagnoses. Testing and intervention methods may need to be modified to accommodate for the specific behavior and motor challenges that some children might present. Researchers should develop technology so that gaze stabilization exercises can be delivered in a fun, functional, and effective way.

scholarly journals Bruck syndrome: a case report

2015 ◽  
Vol 3 (3) ◽  
pp. 44-47
Author(s):  
Dmitry Stepanovich Buklaev ◽  
Mikhail Mikhailovich Kostik ◽  
Olga Evgenievna Agranovich ◽  
Svetlana Ivanovna Trofimova
Keyword(s):  
Motor Development ◽  
Laboratory Data ◽  
Congenital Muscular Torticollis ◽  
Distraction Device ◽  
Osteoclastic Resorption ◽  
Ankle Joints ◽  
Bruck Syndrome ◽  
Muscle Groups ◽  
Muscular Torticollis ◽  
Positive Effect

The article describes the clinical case of an infant with Bruck syndrome. The clinical and radiological analyses showed the presence of systemic osteoporosis with pathological fractures; contractures of the elbow, knee, and ankle joints; delay of physical and motor development; and signs of hypoplasia in some of the muscle groups. There was also a right-sided congenital muscular torticollis. X-ray analysis revealed a moderate antecurvation deformity of the lower legs and femurs, with cortical thinning. Laboratory data detected an abnormal beta-cross lap increase.Treatment of osteoporosis by inhibitors of osteoclastic resorption (pamidronate) had a positive effect, and the elimination of flexion contractures at the elbow using plaster bandages with the distraction device also resulted in a positive effect.

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