Abstract
Congenital muscular torticollis (CMT) is a common newborn pediatric muscular deformity of the neck. The purpose of this article is to suggest a clinical algorithm for pediatric clinicians to promote prompt identification and intervention for infants with CMT. Early intervention for a child with CMT at less than 1 month of age yields a 98% success rate by 2.5 months of age, with the infant achieving near normal range of motion. Intervention initiated at 6 months of age or later can require 9 to 10 months of therapy with less success in achieving full range of motion
of the cervical musculature. The clinical algorithm proposed here incorporates the American Physical Therapy Association guideline for CMT to optimize outcomes for the child and reduce health care expenditures. Current evidence and guidelines demonstrate that primary care providers are the primary diagnostic clinicians, while physical therapists are the preferred provider for the treatment of CMT.
Acesse nossos artigos sobre o método RTA.
Escrito por Johan von Heideken MD, Daniel W. Green MS MD, Stephen W. Burke MD, Kelly Sindle PT, John Denneen MSPT, Yvonne Haglund-Akerlind MD PhD, e Roger F. Widmann MD
Escrito por Regina Fenton, RN, MSN, CRNP1,2, Susan Gaetani, PT, DPT3, Zoe MacIsaac, MD1,2, Eric Ludwick, AS, R.T. (R), (CT)4, and Lorelei Grunwaldt, MD
Escrito por Zhenhui Zhao1†, Hansheng Deng1†, Xin Qiu1†, Gen Tang1†, Huijia Zheng2, Fang Yang3, Futang Gao4, Zhengyu Wu5, Yuanheng Li6, Shuaidan Zeng1, Jiaxin Zhao7, Yiyuan Sun1, Ziheng Zhou1, Yu Tang1, Zhiwen Cui1, Weiqing Li1, Xiaodi Chen1, Ting Cai1, Xian Liu1, Shicheng Li1*, Qisong Yang2*, Shengping Tang1* and Zhu Xiong8*
