Purpose: To assess whether or not physical therapy intervention equally resolves congenital muscular torticollis (CMT) for infants who initiate treatment after 5 months of age in comparison to infants who initiate treatment before 5 months of age. Background: Physical therapy (PT) intervention is a common and successful conservative intervention utilized to help resolve torticollis. CMT is an idiopathic condition detected at birth, or shortly after, and sometimes presents with plagiocephaly. Infants with CMT who go untreated are at higher risk for motor developmental delay, permanent plagiocephaly and facial asymmetry. Case Description: The case subject who inspired this study started PT early intervention services at the adjusted age of 6 months. Outcome: The case subjects CMT successfully resolved after 6 months of therapy; however, she continued to have motor delays. Research indicates a majority of the patients (90%) who begin treatment older than 5 months of age, and before 12 months, will have a successful outcome with conservative care. Research also indicates 4-6 months of therapy is common, with 9 to 10 months of intervention common if treatment is initiated after 6 months of age (Kaplan, et. al., 2013). Discussion: Several factors for a successful outcome of CMT were consistent through the literature, these included: proper diagnosis and early initiation of treatment, caregiver compliance with treatment, and consistency in treatment. Limitations of this study exist in the case study design and within the review as there were few studies of higher level evidence. Further research is needed on CMT to assess best conservative treatment and long term effects of torticollis, resolved and unresolved, on motor development.
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CMT, congenital muscular torticollis, torticollis, physical therapy, conservative, infant
Barabé, Dominica Sena. "Is congenital muscular torticollis equally resolved in infants who initiate physical therapy intervention after 5 months of age in comparison to infants who initiate therapy before 5 months of age?." (2014). http://digitalrepository.unm.edu/dpt/83