Date of Award

2007

Document Type

Scholarly Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Advisor

Peggy Mohr

Keywords

Infant; Muscle Stretching Exercises; Patient Positioning; Torticollis -- congenital; Torticollis -- therapy

Abstract

Background and Purpose: Treatment of an infant with torticollis is most effective when the parents/guardians of the infant are instructed in stretching protocols as well as proper positioning of the infant in many positions This case report describes course of treatment of an infant with congenital muscular torticollis.

Case Description: The child was born with a right sided sternocleidomastoid tumor and associated limitations in cervical left lateral flexion and right rotation. His parents received written stretching instructions from the pediatric surgeon's office but were uncomfortable with stretching their child's neck required more one-on-one instruction. Intervention included cervical and scapular passive range of motion (PROM), proper positioning demonstrations, active range of motion activities, as well as home instruction for the parents.

Outcomes: The infant had normal cervical PROM and active range of motion CAROM) after 2 months of treatment.

Discussion: This case suggests that PROM combined with proper positioning and AROM activities does speed the rate of recovery in an infant with congenital muscular torticollis.

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