Longitudinal follow-up of muscle echotexture in infants with congenital muscular torticollis

Hu, Chih-Chien; Fu, Tieh‐Cheng; Chen, Chung-Yao; Chen, Carl Pai-Chu; Lin, Yu‐Jen; Hsu, Chih‐Chin

doi:10.1097/md.0000000000006068

Cited by 9 publications

(3 citation statements)

References 29 publications

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“…22,87 In particular, there is a growing body of research using sonoelastography 95 or ultrasound imaging to quantify the size, shape, organization and location of fibrous bands or masses, 51,[96][97][98] and to assist with determining an appropriate plan of care and treatment duration. 26,[99][100][101][102] Ultrasound imaging can also indicate the amount of muscle fiber realignment that occurs over time. 96,98,103 Emerging evidence suggests that infants with masses or abnormal fiber organization of the SCM are typically identified earlier but require longer episodes of care.…”

Section: Supporting Evidence and Clinical Interpretationmentioning

confidence: 99%

Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy

Kaplan

Coulter

Sargent

2018

Pediatric Physical Therapy

113

150

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Background: Congenital muscular torticollis (CMT) is a postural deformity evident shortly after birth, typically characterized by lateral flexion/side bending of the head to one side and cervical rotation/head turning to the opposite side due to unilateral shortening of the sternocleidomastoid muscle (SCM); it may be accompanied by other neurological or musculoskeletal conditions. Infants with CMT should be referred to physical therapists to treat these postural asymmetries as soon as they are identified.

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Section: Supporting Evidence and Clinical Interpretationmentioning

confidence: 99%

Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy

Kaplan

Coulter

Sargent

2018

Pediatric Physical Therapy

113

150

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“…Ultrasonography is the initial imaging method for assessing the severity of muscle fibrosis and comparing the difference in the thickness of the SCM muscle on both sides. [6] Magnetic resonance imaging can determine if there is a non-muscular cause or not. [7] Approximately 50% of CMT cases are confirmed within 2 to 3 weeks to 2 months after birth.…”

Section: Introductionmentioning

confidence: 99%

Combined effect of external treatment of herbal medicine and tuina in congenital muscular torticollis: Systematic review and meta-analysis

Kim¹,

Choi²,

Min

2022

Medicine

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Background: Congenital muscular torticollis (CMT) is the third most common musculoskeletal disease in children. With no standardized treatment method hence, so it is necessary to find an effective treatment method that can be received comfortably by children. This review assessed the efficacy of an external treatment of herbal medicine (ETHM) with tuina for CMT in children. Methods: This study searched the English, Chinese, and Korean databases (total of 10) until June 7 2022, without any language restrictions. All included studies were randomized clinical trials (RCTs) of ETHM with tuina as an intervention comparted to the same tuina alone according to the inclusion and exclusion criteria. The mean differences (MD), standardized mean differences (SMD), risk ratio (RR) with the 95% confidence interval (CI), and risk of bias (ROBs) were calculated using Review Manager Version 5.4 software. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) rating system was used to assess the quality of evidence. The publication bias was evaluated using a funnel plot, the Egger test, the fail-safe N test, and the Duval and Tweedle’s trim and fill method using Review Manager Version 5.4 software, the software R Version 4.1.1 and R studio Version 1.4.1106 program. Results: Nineteen RCTs with 1710 patients were included in the meta-analysis. ETHM plus tuina improved the outcomes of the total effective rate (TER) [RR 1.21, 95% CI:1.15 to 1.26, P < .001], sternocleidomastoid (SCM) muscle thickness [MD: −1.82, 95% CI: −2.23 to −1.41, P < .001], cervical rotation range [MD: 13.43, 95% CI: 10.41–16.45, P < .001] and lateral flexion range [MD: 8.50, 95% CI: 6.15–10.85, P < .001], tissue elasticity grade [SMD: −0.46; 95% CI: −0.71 to −0.22, P = .0002], muscle elasticity scores [RR: 1.56; 95% CI: 1.04 to 2.34, P = .03], and clinical symptom and sign scores [SMD: −0.78; 95% CI: −1.09 to −0.47, P < .001]. Conclusions: ETHM plus tuina have a combined effect on CMT children. However, further studies with high-quality clinical trials are needed to obtain more robust clinical evidence.

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“…The term torticollis is mostly used in other sciences, which is derived from two Latin words: Torquere, meaning twisted and collum, meaning neck. 2 Although torticollis is considered a nonspecific term indicating a head and neck tilt following contracture of the sternocleidomastoid muscle, 3 the term “ocular torticollis” has been commonly used in ophthalmology and vision science since 1914. 4 …”

Section: Introductionmentioning

confidence: 99%

Ocular abnormal head posture: A literature review

et al. 2021

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Purpose: To provide a comprehensive review on different characteristics of abnormal head postures (AHPs) due to different ocular causes, its measurement, and its effect on facial appearance. Methods: In this review article, PubMed, Scopus, and Google Scholar search engines were searched for the scientific articles and books published between 1975 and September 2020 based on the keywords of this article. The selected articles were collected, summarized, classified, evaluated, and finally concluded. Results: AHP can be caused by various ocular or nonocular diseases. The prevalence of ocular causes of AHP was reported to be 18%–25%. 1.1% of patients presenting to ophthalmology clinics has AHP. The first step in evaluating a patient with AHP is a correct differential diagnosis between nonocular and ocular sources by performing comprehensive eye examinations and ruling out other causes of orthopedic and neurological AHP. Ocular AHP occurs for a variety of reasons, the most important of which include nystagmus, superior oblique palsy, and Duane's retraction syndrome. AHP may be an essential clinical sign for an underlying disease, which can only be appropriately treated by the accurate determination of the cause. Long-standing AHP may lead to facial asymmetry and secondary muscular and skeletal changes. Conclusion: In conclusion, a proper differential diagnosis between nonocular and ocular causes, knowledge of the different forms of AHP and their measurement methods, accurate diagnosis of the cause, and proper and timely treatment of ocular AHP can prevent facial asymmetry and secondary muscular and skeletal changes in the patients.

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Longitudinal follow-up of muscle echotexture in infants with congenital muscular torticollis

Abstract: Supplemental Digital Content is available in the text

Cited by 9 publications

References 29 publications

Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy

Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy

Combined effect of external treatment of herbal medicine and tuina in congenital muscular torticollis: Systematic review and meta-analysis

Ocular abnormal head posture: A literature review

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