Article

OBJECTIVE: To compare the effects of manual stretching and postural control
intervention in infants with congenital muscular torticollis and to investigate
the factors that predict treatment duration. DESIGN: Randomized, controlled
trial. SETTING: An outpatient rehabilitation clinic in a tertiary university
hospital. SUBJECTS: Infants <6 months of age with congenital muscular torticollis. INTERVENTION: Group 1 included 38 infants who received postural
control intervention. Group 2 included 38 infants who received manual stretching.
MAIN MEASURES: The thickness of the sternocleidomastoid tumor, rear head and
facial asymmetry, and head tilt were variables measured before and after
treatment. Additionally, the treatment duration was measured. RESULTS: The mean
treatment duration was 92.53 +/- 34.38 days for group 1 and 88.21 +/- 37.23 days
for group 2. The mean change of thickness of the sternocleidomastoid tumor was
6.88 +/- 1.90 mm for group 1 and 6.05 +/- 2.85 mm for group 2. There were no
statistically significant differences in the mean treatment duration and the mean
change of thickness of the sternocleidomastoid tumor between the groups (P >
0.05). The first treatment day after birth was associated with the treatment
duration. In addition, facial asymmetry, the first treatment day, tumor
thickness, and head tilt were associated with the treatment duration (P < 0.05).
This regression model had a 57.4% explanatory power. CONCLUSIONS: There was no
difference between these treatments regarding the treatment duration and the
change of thickness of the sternocleidomastoid tumor. Infants with congenital
muscular torticollis who were treated earlier had a shorter treatment length.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS