Conservative Management of Congenital Muscular Torticollis: An Evidence-Based Algorithm and Preliminary Treatment Parameter Recommendations

被引：14

作者：

Christensen, Catie ^{[1
]}

Landsettle, Angela ^{[1
]}

Antoszewski, Sandra ^{[1
]}

Ballard, B. Blaire ^{[1
]}

Carey, Helen ^{[1
]}

Lowes, Linda Pax ^{[1
]}

机构：

[1] Nationwide Childrens Hosp, Div Clin Therapies, Columbus, OH USA

来源：

PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS | 2013年 / 33卷 / 04期

关键词：

Congenital muscular torticollis; evidence-based practice; infant development; knowledge translation; musculoskeletal health; torticollis/stretching; torticollis/therapy; HAMSTRING MUSCLES; FOLLOW-UP; NONOPERATIVE TREATMENT; TREATMENT DURATION; PHYSICAL-THERAPY; STATIC STRETCH; NECK PAIN; INFANTS; FLEXIBILITY; CLASSIFICATION;

D O I：

10.3109/01942638.2013.764959

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Purpose: To present an algorithm with accompanying treatment parameters for the management of congenital muscular torticollis (CMT) based on the best available literature. Methods: A systematic search of PubMed, MEDLINE, CINHAL, and Cochrane databases was conducted to identify evidence to guide the conservative management of CMT. Results: An evidence-based algorithm was created based on three prognostic factors that influence treatment duration and outcome, including a sternocleidomastoid fibrotic mass, passive range of motion rotation deficit, and age at initiation of treatment. Preliminary treatment parameter recommendations for clinic and home programming accompany the algorithm. Conclusion: Use of the proposed evidence-based algorithm with accompanying preliminary treatment parameter recommendations may improve consistency of care and outcomes for infants with CMT. While a higher level of evidence supports the three prognostic factors utilized in the algorithm, research gaps continue to exist with regards to treatment parameters.

引用

页码：453 / 466

页数：14

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