Congenital muscular torticollis is the third most common musculoskeletal abnormality in infants next to hip dysplasia and clubfoot. Congenital muscular torticollis is a result of shortening or excessive contraction of the sternocleidomastoid muscle with limited range of motion in both rotation and lateral flexion of the neck and an imbalance of muscle function around the neck. Due to the positional preference there is a high risk that infants with Congenital muscular torticollis develop deformational plagiocephaly. The birth history demonstrates an unusually high incidence of difficulties during labour e.g. breech presentation is commonly found. There is also a coexistence with hip dysplasia. Infants with Congenital muscular torticollis are found to be at risk of delay in achieving motor milestones.Evidence-based Physical therapy is important for patients because it implies that they will be offered the safest and most effective interventions within the limitations of current knowledge. The expectation is that this will produce the best possible clinical outcome. Physical therapists in general have positive attitudes and beliefs regarding evidence-based practice.
The Physical Therapy Assessment and Management of Infants with Congenital Muscular Torticollis. A Survey and a Suggested Assessment Protocol for CMT: Sweden Anna M Ãhman
Last date updated on September, 2014