CLINICAL CHARACTERISTICS AND KINESITHERAPY TREATMENT OF CONGENITAL TORTICOLLIS MUSCULAR
Â 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 â€œTherapyâ€ - 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 infantsâ€™ 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 = âˆ’31.0Â±10.0.95% CI: 33.7-âˆ’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 = âˆ’27.8Â±12.6, 95%, CI: 31.2-âˆ’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.
2. Ballock RT, Song KM. The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop 1996;16(4):500-4.
3. Demirbilek S, Atayurt HF. Congenital muscular torticollis and sternomastoid tumor: Results of nonoperative treatment. J Pediatr Surg 1999;34(4):549-51.
4. Emery C. The determinants of treatment duration for congenital muscular torticollis. Phys Ther 1994;74(10):921-9.
5. Davids JR, Wenger DR, Mubarak SJ. Congenital muscular torticollis: Sequela of intrauterine or perinatal compartment syndrome. J Pediatr Orthop 1993;13(2):141-7.
6. SÃ¶nmez K, TÃ¼rkyilmaz Z, Demirogullari B, Ozen IO, Karabulut R, Bagbanci B, et al. Congenital muscular torticollis in children. ORL J Otorhinolaryngol Relat Spec 2005;67(6):344-7.
7. Freed S, Coulter-Oâ€˜Berry C. Identification and treatment of congenital muscular torticollis in infants. J Prosthet Orthot 2004;16(4):18-24.
8. Burstein FD. Long-term experience with endoscopic surgical treatment for congenital muscular torticollis in infants and children: A review of 85 cases. Plast Reconstr Surg 2004;114(2):491-3.
9. Karmel-Ross K. Congenital muscular torticollis. In: Campbell SK, Palisano RJ, Linden DW, editors. Physical Therapy for Children. 3rd ed. London: Elsevier Saunders; 2006. p. 359-80.
10. Yu CC, Wong FH, Lo LJ, Chen YR. Craniofacial deformity in patients with uncorrected congenital muscular torticollis: An assessment from three-dimensional computed tomography imaging. Plast Reconstr Surg 2004;113(1):24-33.
11. Buus L, Jensen RB, Pedersen B. Changed incidence of muscular torticollis and craniofacial asymmetry in newborn? A study from the Pediatric Department in Hilleroed Hospital, Denmark, in the years 1994-2000. Forsk Fysioter 2007;5:1-8.
12. Gara E, Haxhiu B, Durguti ZH, Murtezani A. Managing the early phase of rehabilitation after an ischemic cerebrovascular accident. Int J Pharm Pharm Sci 2017;9(6):194-7.
13. Stellwagen L, Hubbard E, Chambers C, Jones KL. Torticollis, facial asymmetry and plagiocephaly in normal newborns. Arch Dis Child 2008;93(10):827-31.
14. Rogers GF, Oh AK, Mulliken JB. The role of congenital muscular torticollis in the development of deformational plagiocephaly. Plast Reconstr Surg 2009;123(2):643-52.
15. Ibraimi Z, Shehi A, Murtezani A, Haliti F. The possibility of development of antibiotic resistance from massive and uncontrolled use of sulfonamides in milk. Int J Pharm Pharm Sci 2017;9(4):207-11.
16. Ohman A, Nilsson S, Lagerkvist AL, Beckung E. Are infants with torticollis at risk of a delay in early motor milestones compared with a control group of healthy infants? Dev Med Child Neurol 2009;51(7):545-50.
17. Ohman AM, Nilsson S, Beckung ER. Validity and reliability of the muscle function scale, aimed to assess the lateral flexors of the neck in infants. Physiother Theory Pract 2009;25(2):129-37.
18. Kaplan SL, Coulter C, Fetters L. Physical therapy management of congenital muscular torticollis: An evidence-based clinical practice guideline: From the Section on Pediatrics of the American Physical Therapy Association. Pediatr Phys Ther 2013;25(4):348-94.
19. Matin A, Islam R, Roy RR, Rakshit BK, Khan R. Management of congenital muscular torticollis under one year of age. J Shaheed Suhrawardy Med Coll 2009;1(2):1-4.
20. Cheng JC, Tang SP, Chen TM, Wong MW, Wong EM. The clinical presentation and outcome of treatment of congenital muscular torticollis in infants - A study of 1,086 cases. J Pediatr Surg 2000;35(7):1091-6.
21. Wei JL, Schwartz KM, Weaver AL, Orvidas LJ. Pseudotumor of infancy and congenital muscular torticollis: 170 cases. Laryngoscope 2001;111:688-95.
22. Tatli B, Aydinli N, Ã‡alÄ±skan M, Ozmen M, BÄ±lÄ±r F, Acar G. Congenital muscular torticollis: Evaluation and classification. Pediatr Neurol 2006;34(1):141-4.
23. Do TT. Congenital muscular torticollis: Current concepts and review of treatment. Curr Opin Pediatr 2006;18(1):26-9.
24. Binder H, Eng GD, Gaiser JF, Koch B. Congenital muscular torticollis: Results of conservative management with long-term follow-up in 85 cases. Arch Phys Med Rehabil 1987;68(4):222-5.
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