Online citations, reference lists, and bibliographies.

Clinical Determinants Of The Outcome Of Manual Stretching In The Treatment Of Congenital Muscular Torticollis In Infants: A Prospective Study Of Eight Hundred And Twenty-one Cases

Jack Chun-yiu Cheng, Margaret W. N. Wong, Sum Pei Tang, T. Minsue Chen, S. L.F. Shum, Eddie M.C. Wong
Published 2001 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
Background: The natural history of congenital muscular torticollis and the outcome of different treatment modalities have been poorly investigated, and the results of treatment have varied considerably. Methods: The main objective of this prospective study was to evaluate the outcomes of 821 consecutive patients with congenital muscular torticollis who were first seen when they were less than one year old, were treated with a standardized program of manual stretching, and were followed for a mean of 4.5 years. Before treatment, the patients were classified into one of three clinical groups: (1) palpable sternomastoid tumor, (2) muscular torticollis (thickening and tightness of the sternocleidomastoid muscle), and (3) postural torticollis (torticollis but no tightness or tumor). Results: Of the 821 patients, 452 (55%) had a sternomastoid tumor; 276 (34%), muscular torticollis; and ninety-three (11%), postural torticollis. Multivariate analysis of the outcomes showed that (1) the duration of treatment was significantly associated with the clinical group (p < 0.0001), a passive rotation deficit of the neck (p < 0.0001), involvement of the right side (p < 0.0001), difficulties with the birth (p < 0.009), and age at presentation (p < 0.0001); (2) the overall final assessment score was associated with the rotation deficit (p = 0.02), age at presentation (p = 0.014), and duration of treatment (p < 0.0001); and (3) subsequent surgical treatment was required by 8% (thirty-four) of the 452 patients in the sternomastoid tumor group compared with 3% (eight) of the 276 patients in the muscular torticollis group and 0% (none) of the ninety-three patients in the postural torticollis group. Conclusions: This large prospective study demonstrated that controlled manual stretching is safe and effective in the treatment of congenital muscular torticollis when a patient is seen before the age of one year. The most important factors that predict the outcome of manual stretching are the clinical group, the initial deficit in rotation of the neck, and the age of the patient at presentation. Surgical treatment is indicated when a patient has undergone at least six months of controlled manual stretching and has residual head tilt, deficits of passive rotation and lateral bending of the neck of >15°, a tight muscular band or tumor, and a poor outcome according to our special assessment chart.
This paper references
10.1093/ptj/74.10.921
The determinants of treatment duration for congenital muscular torticollis.
Cathy D. Emery (1994)
10.1097/01241398-199803000-00015
Sternocleidomastoid pseudotumor of infants and congenital muscular torticollis: fine-structure research.
S C Tang (1998)
10.1302/0301-620X.51B3.432
Sternomastoid tumour and muscular torticollis.
D. Macdonald (1969)
10.2106/00004623-195941050-00003
Congenital muscular torticollis in infancy; some observations regarding treatment.
Mark B. Coventry (1959)
10.1097/00000441-191302000-00015
Deformities, Including Diseases of the Bones and Joints
Alfred Herbert Tubby (1912)
10.1097/01241398-199414060-00022
Infantile torticollis: a review of 624 cases.
Jack Chun-yiu Cheng (1994)
Congenital muscular torticollis: results of conservative management with long-term follow-up in 85 cases.
Heinrich Binder (1987)
Torticollis in infancy and adolescence.
Alan McDaniel (1984)
10.1302/0301-620X.69B3.3584205
The efficacy of manipulative treatment for sternomastoid tumours.
Yee Kit Leung (1987)
10.1136/adc.49.10.824-c
Congenital sternomastoid torticollis
Peter M. Dunn (1974)
10.1203/00006450-197402000-00077
NEONATAL TOPICS: CONGENITAL STERNOMASTOID TORTICOLLIS: AN INTRAUTERINE POSTURAL DEFORMITY
Peter M Dunn (1974)
A prospective study of sternomastoid tumour in a closed community
CM Ling (1975)
10.2106/00004623-194830030-00004
[Muscular torticollis].
(1981)
Congenital torticollis.
Gloria D. Eng (1968)
10.1097/01241398-198212000-00007
Congenital Muscular Torticollis: Observations Regarding Clinical Findings, Associated Conditions, and Results of Treatment
David L. Morrison (1982)
10.7326/0003-4819-68-5-1203_3
Torticollis in infancy and childhood : sternomastoid fibrosis and the sternomastoid "tumour"
Peter G. Jones (1968)
10.2106/00004623-198365070-00003
Muscular torticollis. A modified surgical approach.
Richard D Ferkel (1983)
Fibrous sternomastoid tumor of infancy.
J. Gruhn (1951)
10.1097/01241398-198609000-00011
Surgical Correction of Muscular Torticollis in the Older Child
Eunjoo H. Lee (1986)
10.2106/00004623-198264060-00002
Congenital muscular torticollis. A long-term follow-up.
S T Canale (1982)
Sternomastoid tumor and muscular torticollis.
C. M. Ling (1972)
A prospective study of sternomastoid tumour in a closed community
CM Ling (1975)
10.1007/BF00269913
The aetiological relationship between congenital torticollis and obstetrical paralysis
Shigeo Suzuki (1984)



This paper is referenced by
10.1097/01.phm.0000179516.45373.c4
Botulinum Toxin Type A in the Treatment of Children with Congenital Muscular Torticollis
Joyce L. Oleszek (2005)
10.1302/0301-620X.88B8.18041
Botulinum toxin and its orthopaedic applications.
Manoj Ramachandran (2006)
10.1097/PEP.0000000000000510
Interrater and Intrarater Reliability of the Congenital Muscular Torticollis Severity Classification System
Magdalena Oledzka (2018)
Современное состояние вопроса диагностики и лечения врожденной мышечной кривошеи С.В. Семенов, В.Д. Шарпарь, О.А. Неганов, М.С. Каменских, В.А. Егоров, А.В. Ислентьев Current state of the problem of diagnostics and treatment of congenital muscular torticollis
S. V. Semenov (2013)
10.5535/arm.2012.36.3.320
Magnetic Resonance Imaging as a Determinant for Surgical Release of Congenital Muscular Torticollis: Correlation with the Histopathologic Findings
Jee Hyun Hwang (2012)
10.1016/B978-1-4377-2369-4.00012-3
Chapter 12 – Dystonia: Phenomenology, classification, etiology, pathology, biochemistry, and genetics
Stanley Fahn (2011)
10.1016/j.ijporl.2012.07.018
Management of congenital muscular torticollis in a child: a case report and review.
Jennifer H Ta (2012)
10.1212/01.wnl.0000237336.65596.21
Botulinum toxin injection for congenital muscular torticollis presenting in children and adults
Abigail Collins (2006)
10.1016/B978-0-323-07255-7.00060-X
Chapter 60 – Torticollis
Spencer W Beasley (2012)
The relationship between Infantile Postural Asymmetry and unsettled behavior in babies : a quantitative observational study
Julie Ellwood (2016)
10.1007/S12611-017-0435-7
Fibromatosis colli néonatal : à propos d’un cas
O.-B. Tchagbele (2017)
10.1007/s00431-019-03338-3
Measurement properties of instruments for assessment of cervical spine function in infants with torticollis: a systematic review
Anthea Seager (2019)
Congenital Torticollis and Its Physiotherapy Management
Simranjeet Kaur (2020)
10.1016/j.bjps.2009.05.017
Complete tight fibrous band release and resection in congenital muscular torticollis.
Il Jae Lee (2010)
10.1007/978-1-4614-8515-5_82
Madelung’s deformity
Scott Oishi (2015)
Unique fi nding in congenital muscular torticollis Clinic screening on the neck of one day old neonate and ultrasonographic imaging from birth through 3 years of follow-up
Zhu Xiong (2019)
10.1589/jpts.32.7
Neural and visceral manipulation in infants with congenital muscular torticollis: a feasibility study
Jean Anne Zollars (2020)
10.1002/jum.14937
Two-Dimensional Ultrasound and Shear Wave Elastography in Infants With Late-Referral Congenital Muscular Torticollis.
Chen Zhang (2019)
10.21649/AKEMU.V19I2.499
Comparison between the Incidence of Right and Left Sided Congenital Torticollis
Sahar Aslam (2013)
10.1097/MD.0000000000014794
Unique finding in congenital muscular torticollis
Zhu Xiong (2019)
10.1016/j.jpedsurg.2011.02.040
Clinical features and outcome of physiotherapy in early presenting congenital muscular torticollis with severe fibrosis on ultrasonography: a prospective study.
Yong-Taek Lee (2011)
10.1007/978-1-4614-8758-6_82-1
Torticollis and Sprengel’s Deformity
Neil Saran (2014)
10.1590/S1808-18512009000300004
Avaliação estética e funcional do tratamento cirúrgico do torcicolo congênito com a técnica de liberação distal do músculo esternocleidomastoideo
Osmar Avanzi (2009)
10.1097/SCS.0000000000002260
Change of Facial Asymmetry in Patients With Congenital Muscular Torticollis After Surgical Release
Seung Jo Seo (2016)
Benefit of physiotherapeutic treatment in children with torticollis.
Lena Hautopp (2014)
10.1007/s00132-019-03740-7
Der Schiefhals beim Kind
Martin Götze (2019)
10.4236/OJTR.2013.12006
The status of the cervical spine in preschool children with a history of congenital muscular torticollis
Anna M Öhman (2013)
10.1186/1755-8794-6-S2-S10
Integrative analysis of congenital muscular torticollis: from gene expression to clinical significance
Shin-Young Yim (2013)
10.1016/j.cppeds.2010.10.004
The diagnosis and management of common childhood orthopedic disorders.
Blaise A. Nemeth (2011)
10.1097/PEP.0b013e31815ebb27
Reference Values for Range of Motion and Muscle Function of the Neck in Infants
Anna M Öhman (2008)
10.1097/PRS.0000000000001373
Effectiveness of Surgical Treatment for Neglected Congenital Muscular Torticollis: A Systematic Review and Meta-Analysis
Hyun Jung Kim (2015)
Diagnostikk og behandling av spedbarn med mistanke om funksjonsforstyrrelser i øvre nakkeledd
Kjetil Gundro Brurberg (2009)
See more
Semantic Scholar Logo Some data provided by SemanticScholar