Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?

Park, Jun-il; Kee, Joo-Hyun; Choi, Ja Young; Yang, Shin-seung

doi:10.3390/children8090735

Cited by 5 publications

(6 citation statements)

References 25 publications

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“…However, in the specialized literature, torticollis is recognized as a possible cause of body asymmetries. A retrospective study conducted on a sample of 130 children with congenital muscular torticollis showed that 39.22% of them developed pelvic misalignment syndrome over time, with or without compensatory scoliosis [9], a conclusion also reached by Wilczyński J. in his study [58].…”

Section: Discussionmentioning

confidence: 72%

“…With the SCM contraction, the range of motion at the neck level is limited (LOM) [7], causing a rotation of the face to the contralateral side and homolateral head tilt [8]. The etiology and pathogenesis of congenital muscular torticollis (CMT) are not fully understood [9], with pelvic presentation, cord circling, birth trauma, and vacuum or forceps applications being incriminated [6,10]. The etiology of acquired (postnatal) torticollis (AMT) can be environmental, induced by craniosynostosis (plagiocephaly), or induced by preferential positions, in case of cerebral palsy, Down syndrome, myelodysplasia, and dysfunction of the C1 occiput-cervical area [11].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Parau,

Todoran,

Balasa

2024

Medicina

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Background and Objectives: Torticollis is a common pediatric condition, with an incidence of 0.3–2.0%. Studies show that an adequate, tailored, and early treatment helps 90% to 95% of children recover before the first year of life and 97% of patients recover if treatment starts before the first six months. To identify the relationships between variables considered essential in the recovery process of infants with torticollis, we included factors such as the type of torticollis, age at onset of treatment, gender, birth weight, mode of delivery, fetal position in the uterus, the presence of craniofacial deformities, regions affected by postural asymmetries, and duration of the rehabilitation program. The hypothesis of the study is that early initiation of therapy can contribute to achieving favorable outcomes in the recovery process. Material and Methods: This retrospective cohort pilot study was conducted within a rehabilitation facility, spanning a duration of 1 year. The study involved a population of 41 children aged between 0 and 6 months. The rehabilitation program consisted of the application of Vojta therapy. Each session lasted 20 min, with a frequency of three times per week. Results: A total of 41% of those who started therapy in the first 3 months of life were fully recovered after 4–6 weeks of therapy. Of infants who started therapy at 5 and 6 months of age, 15% showed no improvement in measurements from 14 to 16 weeks of age, at which point the use of a cranial orthosis was recommended, and 23% experienced a plateau in measurements from 10 to 14 weeks, requiring the use of a cervical collar in conjunction with therapy. Conclusions: The findings from the study suggest that there may be a correlation between early initiation of therapy and favorable outcomes in the recovery process. The primary factors influencing the duration of recovery were identified as the presence of body asymmetries and the age at which therapy was initiated.

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Parau,

Todoran,

Balasa

2024

Medicina

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“…For example, a genetic link between scoliosis and cervical dystonia has been suggested due to a higher prevalence of adolescent-onset scoliosis among patients with primary adult-onset cervical dystonia compared to the general population [ 10 ]. Patients with congenital cervical dystonia often develop secondary cervicothoracic scoliosis [ 11 , 12 ], which may result in secondary scoliosis in the long term. The reasons for this correlation are not fully understood, but it may be that the same genetic or developmental factors that lead to a higher risk of scoliosis also increase the risk of cervical dystonia.…”

Section: Discussionmentioning

confidence: 99%

Scoliosis Causing Cervical Dystonia in a Chiropractic Office

Chu¹,

Lee²,

Tam³

et al. 2023

Cureus

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Cervical dystonia is a movement disorder characterized by continuous and involuntary muscular contractions that result in aberrant head and neck motions or postures. A recent study indicates that persons with a history of scoliosis may be at a higher risk of acquiring cervical dystonia later in life. Although muscular tension and contraction abnormalities are linked in both illnesses, the pathophysiological pathways linking these two ailments are not entirely understood. A 13-year-old boy previously diagnosed with adolescent idiopathic scoliosis developed symptoms of cervical dystonia, including moderate neck pain, left-sided migraines, and tingling in the neck and shoulders. During the course of three months, the patient attended 16 chiropractic therapy sessions. He reported slow but considerable improvements in his symptoms, such as the recovery of normal cervical range of motion, decreases in neck discomfort and accompanying headaches as well as paresthesia, and enhancements in sleep quality, daily functioning, and learning capacities. The patient's clinical and radiographic improvements show that chiropractic spinal manipulation may assist in reducing pain and improving spine alignment and mobility in these circumstances. To further investigate the efficacy and safety of chiropractic therapy for the treatment of cervical dystonia, particularly in the setting of associated scoliosis, more study with bigger patient populations is required.

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“…In the same way, manual therapy treatment appears to offer beneficial results when focusing on mobilization of the upper cervical region and correction of cranial deformities [8,21], this circumstance stands out in research focused on children with plagiocephaly that appears associated with CMT [16], taking into account that CMT could lead to secondary alterations such as facial asymmetry, scoliosis and other alterations of the spine [7,22]. Also, some studies suggest that limitation in the neck can lead to pelvic dysfunction due to changes in posture and ability to move [9].…”

Section: Discussionmentioning

confidence: 99%

“…This disorder is the third of the pathologies that most affects the functionality of the children, behind congenital hip dysplasia and congenital clubfoot [4]. Specifically, the reported incidence of CMT ranges from 0.2% to 2% [2,4,9]. It can be considered more frequent in primiparous and with a certain predominance of the right side [4].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Treatment of Physiotherapy in the Congenital Muscular Torticollis: A Systematic Review

Rodríguez-Huguet,

Rodríguez-Almagro,

Rosety-Rodríguez

et al. 2023

Children

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A single congenital muscular torticollis (CMT) is a postural musculoskeletal deformity and is characterized by the shortening or stiffness of the sternocleidomastoid muscle. The reported incidence of CMT ranges from 0.2% to 2%. The objective is to evaluate the effect of physical therapy programs on CMT. For the search, PubMed, Scopus, Web of Science, PEDro and Cochrane databases were used. Randomized controlled trials published between 2018 and 2023 have been included. This study follows the PRISMA 2020 statement and has been registered in the PROSPERO database. Finally, six studies were included. The cervical range of motion (ROM) in rotation was the most analyzed variable, followed by the ultrasound evaluation; one of the studies included the analysis of children’s motor development with the Alberta scale. All research found benefits associated with soft tissue mobilization, passive stretching techniques and manual therapy of the cervical spine. In conclusion, it is possible to recommend manual therapy and passive stretching techniques for the treatment of CMT, with significant results on the cervical ROM.

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Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?

Cited by 5 publications

References 25 publications

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Factors Influencing the Duration of Rehabilitation in Infants with Torticollis—A Pilot Study

Scoliosis Causing Cervical Dystonia in a Chiropractic Office

Effectiveness of the Treatment of Physiotherapy in the Congenital Muscular Torticollis: A Systematic Review

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