October 04, 2018
Infant Congenital Muscular Torticollis

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

Physical therapy is highly effective in treating infant congenital muscular torticollis (CMT) – “twisted neck” or “wryneck”- says the newly updated clinical practice guideline. Early intervention is key to reduced risk of needing more invasive interventions.

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; 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.

This update of the 2013 CMT clinical practice guideline (CPG) informs clinicians and families as to whom to monitor, treat, and/or refer and when and what to treat. It links 17 action statements with explicit levels of critically appraised evidence and expert opinion with recommendations on implementation of the CMT CPG into practice.
 

Pediatric Physical Therapy: October 2018 - Volume 30 - Issue 4 - p 240–290
Kaplan, Sandra L., PT, DPT, PhD; Coulter, Colleen, PT, DPT, PhD, PCS; Sargent, Barbara, PT, PhD, PCS