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

作者：Keklicek Hilal^*; Uygur Fatma

来源：Journal of Back and Musculoskeletal Rehabilitation, 2018, 31(2): 315-321.

DOI：10.3233/BMR-169746

• Congenital muscular torticollis
• pediatric physiotherapy
• musculoskeleteal manipulations

BACKROUND: Soft tissue mobilization techniques (STM) are used in clinical practice in treatment of congenital muscular torticollis(CMT). However, little is known about its effectiveness.
OBJECTIVES: To investigate whether using STM to manage CMT in babies with mild to moderate head tilt was effective or not.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: STM techniques are effective in getting faster positive results in the treatment of CMT.

• 出版日期2018