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Rehabilitation Practice and Science

Translated Title

嬰兒姿勢性斜頸症之兩年計劃性研究

Abstract

Torticollis is a common physical finding in infants, and congenital muscular torticollis is the most commonly reported type. If the only findings are head tilting and facial asymmetry without limitation of ROM of the neck and lack of pathological change of the sternocleidomastoid muscle, infant postural torticollis is the most likely diagnosis. From June, 1995 to May, 1997 we prospectively studied 211 cases of postural and muscular torticollis and excluded other causes of head tilting. The male to female ratio was 114:97, and left to right side ratio 104:107. 130 cases (61.6%) had infant postural torticollis (Group I), while 81 had congenital muscular torticollis (Group II). Seven patients (3.3%) had sibling or cousins with postural or muscular torticollis.In Group I, 95/130 cases could be followed up. Of these 95 patients 37 patients with angle of head tilting≧15°, electrical muscular stimulation on the opposite side trapezius muscle, neck collar support over tilting side, passive stretch, righting reflex and active exercise program were given. This approach resulted in total correction in 7, slight tilting (≦5°) in 20, and less improvement with tilting (＞5°) in 10 cases. The treatment period of this group was 3.3 ± 2.4 months. In the other 58 cases, with initial head tilting less than 15°, most of them were treated with exercise program and collar. All resulted in marked improvement. The facial asymmetry also showed marked improvement at the same time. In Group II, all received conservative physiotherapy with marked improvement, but 10 cases (12%) had poor results and went on to surgical treatment.

Language

Traditional Chinese

First Page

1

Last Page

6

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