Analysis of Spontaneous Movements in Infants With Torticollis

Abstract

Purpose: This study aimed to investigate whether the movements and postures of 3-to 5-month-old infants with torticollis differ from those of infants without torticollis and to determine the relationship between clinical characteristics and the Motor Optimality Score (MOS) in torticollis. Methods: Participants were 40 infants with torticollis and 40 infants developing typically without torticollis. The infants were evaluated with detailed general movement assessment. Results: There were significant differences in the MOS and subcategory scores for age-adequate movement repertoire and observed postural patterns between groups. Clinical characteristics were not related to the reduction in the MOS. Conclusions: Infants with torticollis have differences in movements and postures at 3 to 5 months of age compared with controls. Strategies supporting the movement repertoire of infants with torticollis can be added to rehabilitation programs for infants with the lower MOS to optimize their motor development.

Reliability of the Motor Optimality Score‐Revised: A study of infants at elevated likelihood for adverse neurological outcomes

“…Inter‐assessor reliability of the original version of the MOS has previously shown to be high when used in different populations (intraclass correlation coefficient (ICC): 0.80–0.98, 13,22,23 κw: 0.87–0.91) 14 . A few studies have also presented inter‐assessor reliability data for the total MOS‐R (ICC: 0.86–0.96) 22,24,25 .…”

“…Inter‐assessor reliability of the original version of the MOS has previously shown to be high when used in different populations (intraclass correlation coefficient (ICC): 0.80–0.98, 13,22,23 κw: 0.87–0.91) 14 . A few studies have also presented inter‐assessor reliability data for the total MOS‐R (ICC: 0.86–0.96) 22,24,25 . Details regarding reliability across different subcategories, however, and whether its use at different age‐spans influences assessor agreement are less known.…”

External treatment of herbal medicine with tuina in congenital muscular torticollis

“…[ 7 ] CMT can affect developmental motor delay, neurological dysfunction, or musculoskeletal problems. [ 27 ]…”

“…It can be caused by a higher compression of the fetus toward the end of pregnancy, intrauterine malposition, traumatic deliveries, such as forceps and suction cups, [26] and the length of the infants at birth are 51.3 cm or more [7] . CMT can affect developmental motor delay, neurological dysfunction, or musculoskeletal problems [27] …”

“…[7] CMT can affect developmental motor delay, neurological dysfunction, or musculoskeletal problems. [27] Complementary therapies commonly treat CMT include tuina, acupuncture, and moxa therapy in East Asia. Tuina is the most widely used invention in combination with paraffin therapy, [28] herbal fumigation therapy, [29,30] and external therapy of herbal medicine (ETHM).…”