Original ArticleClinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study
Section snippets
Materials and methods
All infants with clinically suspected CMT were seen at the torticollis clinics of Kangbuk Samsung Hospital and Cheil General Hospital & Women's Health Care Center from 2008 to 2009. Fifty (32 boys, 18 girls) infants met the inclusion criteria, and the parents agreed to a conservative treatment program. The study protocol was approved by the institutional review boards of the Kangbuk Samsung Hospital. The present study was conducted in accordance with the Declaration of Helsinki. All patients
Results
Fifty infants (32 boys, 18 girls) whose ages ranged from 20 days to 3 months (1.51 ± 0.72 months) were included in this study. Among the 50 patients, 25 (50.0%) had type 1, 8 (16.0%) had type 2, and 17 (34.0%) had type 3 fibrosis. None of the subjects was classified as type 4. Basic clinical characteristics, including mean age at presentation, thickness ratio, birth weight, and affected side, were statistically similar among the different US types (Table 1). Initial ΔROT of type 3 patients was
Discussion
Initial ΔROT was greater in cases with severe fibrosis on US than in other milder types. The mean duration of treatment as the clinical outcome parameter was longer in the severe type than other milder type. These 2 variables showed a statistically significant linear trend of association and correlation with severity of fibrosis on US. These findings were consistent with previous reports that showed that the severity of restriction of neck rotation at the beginning of treatment was a predictor
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2023, International Journal of Surgery Case ReportsRelationship between sonography of sternocleidomastoid muscle and cervical passive range of motion in infants with congenital muscular torticollis
2018, Biomedical JournalCitation Excerpt :The cervical PROM, the primary outcome measure, of the infant lying in the supine position on a therapy table with the shoulders stabilized and the head in the cervical neutral position was measured with an arthrodial protractor. Because the lateral flexion and rotation of neck had sufficient intra-rater reliability (0.87–0.97) and fair to good criterion validity (0.74–0.90) [20], and the construct validity for severity of CMT [11,21–23] was also existed, only lateral flexion and rotation were measured in the study. In the study, the rotation of cervical ROM for AS was defined as rotation of cervical ROM toward to AS, but the lateral flexion of cervical ROM for AS was measured by lateral flexion of cervical ROM toward to UAS.
A Clinical Comparative Study of Ultrasound-Normal Versus Ultrasound-Abnormal Congenital Muscular Torticollis
2016, PM and RCitation Excerpt :US evaluations were performed by 2 radiologists and 1 physiatrist using a HDI 5000 (Philips Medical Systems, Bothell, WA), a Voluson 730 (GE Healthcare, Zipf, Austria) or a LogiqE9 (GE Healthcare, Milwaukee, WI) equipped with a broadband linear-array transducer. Physiotherapy was conducted via a standardized protocol (manual stretching exercise for about 30 minutes 3 times per week) modified from Cheng et al [7,15,20], which was performed by an experienced physical therapist a few days after diagnosis of CMT for all patients with a ΔROT or a ΔLAT of ≥10°. The manual stretching exercise consists of 4 directional neck motion exercises, including rotation, flexion, lateral flexion, and extension (Figure 2).
Factors Correlating Outcome in Young Infants with Congenital Muscular Torticollis
2016, Canadian Association of Radiologists JournalCongenital Muscular Torticollis—Current Understanding and Perinatal Risk Factors: A Retrospective Analysis
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