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Rehabilitation Practice and Science

Translated Title

先天肌肉性斜頸與慣用手發展之關係

Abstract

We studied dominant hand development in 158 patients with congenital muscular torticollis who had received physical therapy in Chang Gung Memorial Hospital, Kaohsiung, from 1989 to 1995. There were 97 boys and 61 girls in the study group. The congenital muscular torticollis was right side in 84 patients and left side in 74 patients. We also enrolled 512 healthy children, aged from 3 to 5 years old, as the control group. Ninety-one percent of the control subjects were right handed, and nine percent of them were left handed. Subjects with right congenital muscular torticollis were right handed in 63.1% of cases and left handed in 36.9% of cases. Subjects with left congenital muscular torticollis were right handed in 90.5% of cases and left handed in 9.5% of cases. The percentage of left handed subjects with right congenital muscular torticollis was significantly higher than that of control subjects. The development of the dominant hand opposite to the lesion side was found to be increased as the severity of limitation of the neck mobility increased, although this finding was not statistically significant. We concluded that congenital muscular torticollis might affect the development of the dominant hand, especially in the patients with asymmetrical neck position. These findings stress the importance of early facilitation of symmetrical development for patients with congenital muscular torticollis.

Language

Traditional Chinese

First Page

169

Last Page

173

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