Two Approaches To Muscular Torticollis [Case Report]

Smith-Nguyen EJ.J Clin Chiropr Pediatr.2004 Sum;6(2):387-393.

ABSTRACT: Objective: The purpose of this paper is to compare and contrast chiropractic care with physical therapy in the management of an infant with congenital torticollis. Design: Case study. Setting: Private practice. Clinical Features: An infant, 10 months of age, was diagnosed with congenital torticollis. Physical therapy was prescribed of a period of two months. This therapy initially was effective in correcting the patient’s postural deformity, but after the physical therapy course was concluded, the patient’s symptoms progressively returned over the following three months. At this time, a course of chiropractic care was initiated. The patient received five chiropractic adjustments over a period of six weeks and the torticollis resolved without returning. Intervention and Outcome: Physical therapy was prescribed by the infant’s pediatrician at 10 months of age. The course of physical therapy included neuromuscular evaluation and recommendation for home exercises to aid in stretching and strengthening the cervical musculature and increasing cervical range of motion. This type of therapy was deemed effective initially but upon release, after two months of therapy, symptoms gradually began returning. Three months later, the child’s mother sought a chiropractic evaluation, as a second opinion. At this time the patient’s torticollis had returned. In addition, plagiocephaly and delay in gross motor skills development was evident. After a thorough physical examination and neuromuscular evaluation, it was determined that spinal subluxations were the likely cause of the patient’s torticollis. Chiropractic adjustments were performed using light force activator adjustments and gentle joint mobilization. Five adjusting sessions were performed over a six-week period. Follow-up care over a period of eight months indicated no return of the torticollis. Conclusion: The use of different therapies, in the treatment of torticollis, can have similar results, but it is important to look at potential underlying causes in the spine, rather than just the muscular contraction alone, in order to achieve the desired long-term results. Chiropractic care provided permanent resolution of the child’s torticollis, reduction of plagiocephaly and improved development milestones.

SOTO | USA > SOT Literature > Pediatrics > Two Approaches To Muscular Torticollis [Case Report]

Editor Recommends
Most Read Articles

Editor Recommends

This SOT Literature Page and all its contents herein are published by SOTO-USA solely for the purpose of education. All rights reserved by SOTO-USA to accept, reject or modify any submission for publication. The opinions stated in the electronically printed material herein are those of the authors and do not necessarily represent the opinions of SOTO-USA or other individuals associated with SOTO-USA. SOTO-USA does not guarantee or make any representation that the printed material contained herein is valid, reliable or accurate. SOTO-USA does not assume any responsibility for injury arising from any use or misuse of the printed material herein. The printed material contained herein is assumed to be from reliable sources and there is no implication that the printed material herein present the only, or the best methodologies or procedures for the care or treatment of conditions discussed. It is incumbent upon the reader to verify the accuracy of any diagnosis and treatment information contained herein, and to make modifications as new information and/or research arises.