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The Physical Therapy Assessment and Management of Infants with Congenital Muscular Torticollis. A Survey and a Suggested Assessment Protocol for CMT
| Anna M Öhman1*, Eva-Lott Mårdbrink2, Christina Orefelt3, Anthea Seager4, Lisen Tell5and Eva Arrenhius Klackenberg6 | |
| 1Department of Paediatrics, University of Gothenburg, Queen Silvia Children’s Hospital, Gothenburg, Sweden | |
| 2Department of Paediatrics, University of Gothenburg, Queen Silvia Children’s Hospital, Gothenburg, Sweden | |
| 3Sollevi Physiotherapy, Stockholm, Sweden | |
| 4Senior Physiotherapist,Temple Street Children’s University Hospital, Dublin 1, Ireland | |
| 5Sollevi Physiotherapy, Stockholm, Sweden | |
| 6Department of physiotherapy, The Astrid Lindgren Children´s Hospital, Stockholm, Sweden | |
| Corresponding Author : | Anna Öhman Department of Physiotherapy, The Queen Silvia Children’s Hospital Sahlgrenska University Hospital/Östra SE-416 85 Göteborg, Sweden Tel: +46-313434732 E-mail: anna.ohman@friskispraktiken.com |
| Received May 09, 2013; Accepted June 28, 2013; Published June 30, 2013 | |
| Citation: Öhman AM (2013) The Physical Therapy Assessment and Management of Infants with Congenital Muscular Torticollis. A survey and a Suggested Assessment Protocol for CMT. J Nov Physiother 3:165. doi:10.4172/2165-7025.1000165 | |
| Copyright: © 2013 Öhman AM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Background: Infants with congenital muscular torticollis(CMT) are treated with physical therapy, however the knowledge about type of assessment and treatment in current clinical practice is not clear.
Aim: This study aimed to investigate the management of infants with CMT within a network of physical therapists.
Settings/population: Physical therapists from a network for CMT participated in the study.
Method: With permission a questionnaire from New Zealand was used. Subsequently an expert group of physical therapists developed a draft assessment protocol.
Result: In general there was a high degree of consensus between the respondents in the current survey. For the assessment visual estimates were most commonly used and an evaluation of cervical muscle strength of the neck was always/often conducted. The most effective form of intervention as perceived by the respondents in the management of CMT was passive stretching, handling advice, facilitation with strengthening exercises of the neck muscle and facilitation of active cervical range of motion. There were big discrepancies in assessment of hand- and hip asymmetry.
Conclusion: There seems to be a need to develop international guidelines for CMT to improve the evidence practice of assessment and treatment.
