Conservative management of congenital muscular torticollis: an evidence-based algorithm and preliminary treatment parameter recommendations.

Abstract

PURPOSE:

To present an algorithm with accompanying treatment parameters for the management of congenital muscular torticollis (CMT) based on the best available literature.

METHODS:

A systematic search of PubMed, MEDLINE, CINHAL, and Cochrane databases was conducted to identify evidence to guide the conservative management of CMT.

RESULTS:

An evidence-based algorithm was created based on three prognostic factors that influence treatment duration and outcome, including a sternocleidomastoid fibrotic mass, passive range of motion rotation deficit, and age at initiation of treatment. Preliminary treatment parameter recommendations for clinic and home programming accompany the algorithm.

CONCLUSION:

Use of the proposed evidence-based algorithm with accompanying preliminary treatment parameter recommendations may improve consistency of care and outcomes for infants with CMT. While a higher level of evidence supports the three prognostic factors utilized in the algorithm, research gaps continue to exist with regards to treatment parameters.

• Authors: Catie Christensen, Angela Landsettle, Sandra Antoszewski, B Blaire Ballard, Helen Carey, Linda Pax Lowes
• Journal: Physical & occupational therapy in pediatrics (Phys Occup Ther Pediatr) Vol. 33 Issue 4 Pg. 453-66 (Nov 2013) ISSN: 1541-3144 [Electronic] England
• PMID: 23387981 (Publication Type: Journal Article, Review)

Topics

• Age Factors
• Algorithms
• Evidence-Based Medicine
• Humans
• Infant
• Muscle, Skeletal (pathology)
• Physical Therapy Modalities
• Range of Motion, Articular
• Torticollis (congenital, pathology, physiopathology, therapy)