Case Report
Volume 13 Issue 1 - 2021
Effect of Active and Passive Stretching Exercises on Congenital Muscular Torticollis in Infants – A Clinical Case Report
Silva ECM1, Beduschi DZP1, Silva GP1,2, Regueiro EMG3, Verri ED2,3, Fioco EM2,3, Regalo SCH2 and Fabrin S1,2,3*
1University Center UNIFAFIBE, Bebedouro, São Paulo, Brazil
2Ribeirão Preto School of Dentistry - FORP/USP, Ribeirão Preto, São Paulo Brazil
3Claretiano University Center, Batatais, São Paulo, Brazil
*Corresponding Author: Fabrin S, University Center UNIFAFIBE, Bebedouro, São Paulo, Brazil.
Received: November 18, 2020; Published: December 31, 2020




Abstract

Background: Congenital muscular torticollis (CMT) is a musculoskeletal deformity observed at birth and infancy, characterized by unilateral contracture of the sternocleidomastoid.  It is the third most common musculoskeletal abnormality in infants. Early treatment and physical therapy result in the best outcome, avoiding surgery to correct the condition. The main objective of the present study was to evaluate the effect of active and passive stretching exercises on CMT in infants.

Case Report: We report an infant diagnosed with CMT who was treated with physiotherapy and followed up daily from birth to 10 months of life. The results showed that early physiotherapy treatment is a useful tool to manage CMT with a favorable and effective clinical evolution.

Clinical Rehabilitation: Passive and active stretching exercises have produced a positive and effective response for the treatment of CMT in infants, demonstrating that physiotherapy exercises are effective, safe and painless forms of treatment that can effectively reduce CMT, thus avoiding surgery.

Keywords: Torticollis; Congenital; Stretching; Physical Therapy

References

  1. Persing J., et al. “Prevention and Management of positional skull deformities in infants”. Pediatrics 112 (2003): 199-202.
  2. Kaplan SL., et al. “Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline from the APTA Academy of Pediatric Physical Therapy”. Pediatric Physical Therapy 30 (2018): 240-290.
  3. Twee D. “Congenital Muscular Torticollis: current concepts and review of treatment”. Current Opinion in Pediatrics 18 (2006): 26-29.
  4. Freed S and Coulter-O’Berry C. “Identification and Treatment of Congenital Muscular Torticollis in Infants”. Journal of Prosthetics and Orthotics International 16 (2004): 18-23.
  5. Klackenberg EP., et al. “Inter-rater reliability in measuring range of motion in infants with congenital muscular torticollis”. Advances in Physiotherapy 7 (2005): 4-91.
  6. Godges JJ., et al. “The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach”. Journal of Orthopaedic and Sports Physical Therapy 33 (2003): 713-718.
  7. Dajah A and Bweir S. “Soft Tissue Mobilization and PNF Improve Range of Motion and Minimize Pain Level in Shoulder Impingement”. The Journal of Physical Therapy Science 26 (2014): 1803.
  8. Haugen EB., et al. “Manual therapy in infantile torticollis: a randomized, controlled pilot study”. Acta Paediatrica 100 (2011): 687-690.
  9. Boere-Boonekamp MM and van der Linder-Kuiper AT. “Positional preference: prevalence in infants and followup after two years”. Pediatrics 107 (2001): 339-343.
  10. Luther BL. “Congenital muscular torticollis”. Orthopaedic Nursing 21 (2013): 21-28.
Citation: Silva ECM., et al. “Effect of Active and Passive Stretching Exercises on Congenital Muscular Torticollis in Infants – A Clinical Case Report”. EC Neurology 13.1 (2021): 28-33.

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