Unresolved Congenital Torticollis and Its Consequences: A Report of 2 Cases

Abstract

Objective: The purpose of this report was to describe the clinical presentation and case management of 2 children with congenital torticollis. Clinical Features: Two male children (ages 6 and 10 years) presented to a chiropractic clinic with a history of congenital torticollis. They showed signs and symptoms of postural deficiency and developmental delay: posterior plagiocephaly, facial scoliosis, head tilt, compensatory thoracic scoliosis, decreased range of motion in the cervical spine, palpable decreased segmental motion of the upper cervical spine, and an age-related delay in throwing and catching a ball and in one-leg standing. Intervention and Outcome: Both children received chiropractic care (spinal manipulative therapy) and physical therapy (therapeutic exercises, including neck, back, and coordination exercises). Each patient responded favorably with improvement in both structural (posture) and functional (range of motion of the spine and coordination) deficits. Conclusions: Both patients responded favorably to the combined therapy. These findings suggest that children with congenital torticollis may benefit from a treatment plan that includes a broad therapeutic approach based on the principles of biomechanics and sensorimotor development. (J Chiropr Med 2017;16:257-261)

Congenital Muscular Torticollis—Current Understanding and Perinatal Risk Factors: A Retrospective Analysis

“…CMT is relatively often observed not only when the foetus is in the breech position, but also in children of primiparas [ 46 ]. The data obtained in this study confirmed the latter and revealed that the incidence of congenital muscular torticollis was higher in first-born children.…”