A randomized controlled study on the efficiency of soft tissue mobilization in babies with congenital muscular torticollis

Soft tissue mobilization techniques (STM) are used in clinical practice in treatment of congenital muscular torticollis(CMT).However, little is known about its effectiveness. To investigate whether using STM to manage CMT in babies with mild to moderate head tilt was effective or not. Twenty-nine ba...

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Bibliographic Details
Published in:Journal of back and musculoskeletal rehabilitation 2018-01, Vol.31 (2), p.315-321
Main Authors: Keklicek, Hilal, Uygur, Fatma
Format: Article
Language:English
Subjects:
Adaptation
Exercise Therapy - methods
Female
Head
Humans
Infant
Male
Massage
Neck
Neck Muscles - physiology
Pediatrics
Physical therapy
Range of Motion, Articular
Research Design
Rotation
Short term memory
Therapy, Soft Tissue
Torticollis
Torticollis - congenital
Torticollis - therapy
Treatment Outcome
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Summary:Soft tissue mobilization techniques (STM) are used in clinical practice in treatment of congenital muscular torticollis(CMT).However, little is known about its effectiveness. To investigate whether using STM to manage CMT in babies with mild to moderate head tilt was effective or not. Twenty-nine babies with CMT aged between 0-6 months, who had a head tilt from 5 to 20 degrees were allocated to two groups. Both groups received a baseline home program (positioning, handling strategies, stretching and strengthening exercises, environmental adaptations). The study group (SG) also received STM three times a week. Babies were evaluated initially, at six weeks, at 12 weeks and for follow-up at 18 weeks with muscle function scale, head tilt and range of motion for neck lateral flexion and rotation. Both groups showed significant improvements in all measured parameters (p< 0.05). In comparison of groups, there were differences at six weeks in favor of the SG for neck rotation (0.001) and head tilt (= 0.006); but at 12 weeks and follow up, there were no longer any differences between the groups in any of the measured parameters. STM techniques are effective in getting faster positive results in the treatment of CMT.
ISSN:1053-8127
1878-6324
DOI:10.3233/BMR-169746