Clinical Determinants of the Outcome of Manual Stretching in the Treatment of Congenital Muscular Torticollis in Infants

Cheng, Jack C. Y.; Wong, M.W.N.; Tang, Shengping; Chen, T.M.K.; Shum, S.L.F.; Wong, E.M.C.

doi:10.2106/00004623-200105000-00006

Cited by 250 publications

(303 citation statements)

References 11 publications

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“…The same principles of muscle relaxation may apply in the acute versus chronic condition. 33,34 In addition, the authors' clinical experience with adult patients suggests these techniques are well tolerated and effective. There is also some evidence that not treating congenital torticollis and some types of recurrent torticollis may contribute to transient motor asymmetry, motor delay, and plagiocephaly, which would be reversible if addressed properly.…”

Section: Discussionmentioning

confidence: 99%

Conservative Care of Pediatric Acquired Torticollis: A Report of 2 Cases

Young

Young²

2017

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the conservative management of 2 cases of acquired torticollis in children under 3 years of age. Clinical Features: Both patients awoke with painful, stiff, twisted necks the day after play in a bouncy house. Range of motion was limited, and hypertonic muscles were palpated. Their neurologic and physical evaluation was consistent with a diagnosis of acquired torticollis of musculoskeletal origin. Intervention and Outcomes: Both children were treated with chiropractic care that consisted of light myofascial release, use of an Activator instrument, and home stretching. Patients improved in pain and range of motion immediately posttreatment and returned to normal ranges in 1 or 2 visits. Conclusion: Chiropractic care provided relief for these 2 young patients with acquired torticollis. (J Chiropr Med 2017;16:252-256)

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Section: Discussionmentioning

confidence: 99%

Conservative Care of Pediatric Acquired Torticollis: A Report of 2 Cases

Young

Young²

2017

Journal of Chiropractic Medicine

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“…Surgical lengthening of the contracted SCM is mandatory in only 3% of the cases [2]. Surgery is highly recommended when a restriction of movement up to thirty degrees is present, as well in cases complicated with deformities of facial bones.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…A section of the clavicular insertion of the SCM is proposed, and an elongation in a Z-shape of its sternal insertion, in order to maintain its normal outline. Rarely, in neglected cases, a section of its mastoid insertion is also necessary [2,12,14,15].…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…The typical clinical element is a firm mass sized between 1 to 3 cm which causes shortening of the sternocleidomastoid and it is normally palpable at 1 to 4 weeks of age [2].…”

Section: Introductionmentioning

confidence: 99%

“…It is a relatively common recognized infantile abnormality and its incidence varies from 0.3% to 2.0% live births [2]. CMT is recorded as is the third most common congenital musculoskeletal anomaly after dislocation of the hip and clubfoot [1,5].…”

Section: Introductionmentioning

confidence: 99%

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Congenital Muscular Torticollis: An Overview

Angoules¹

2013

J Gen Pract

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Congenital Muscular Torticollis (CMT) is a congenital deformity characterized by unilateral shortening of the sternocleidomastoid muscle resulting in lateral inclination of the neck associated with contralateral torsion. It is a relatively common infantile deformity associated with typically favourable prognosis when early detected and treated. Although stretching exercises is still the most common treatment, this therapeutic approach should be applied early in younger subjects to be efficient. Surgical intervention is guaranteed before an established craniofacial asymmetry. The purpose of this is to provide an overview of the current therapeutic approaches with additional analysis of their effectiveness.

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