Manual therapy in infantile torticollis: a randomized, controlled pilot study

作者：Haugen Else Beth^*; Benth Jurate Saltyte; Nakstad Britt

来源：Acta Paediatrica, 2011, 100(5): 687-690.

DOI：10.1111/j.1651-2227.2011.02145.x

• Infant
• Therapy
• Torticollis

Aim:
Torticollis in infancy is routinely treated by child physiotherapists. The addition of manual therapy to the treatment is a new approach in Norway. As the effect of manual therapy for this condition is poorly documented, we designed a pilot study to evaluate measurement methods and examine the short-time effect of manual therapy in addition to child physiotherapy.
Methods:
Randomized controlled trial, double blinded. Thirty-two patients aged 3-6 months were randomized to intervention group (manual therapy and child physiotherapy) and control group (child physiotherapy alone). Primary outcome: Change of symptoms because of torticollis evaluated by video recordings. Secondary outcomes: 12 parameters including spontaneous movements, active and passive range of motion and head righting reaction.
Results:
We found a nonsignificant tendency to greater improvement in lateral flexion (p = 0.092) and head righting reaction (p = 0.116) in the intervention group.
Conclusion:
In this pilot study, we found that in patients with moderate symptoms related to torticollis, the short-time effect of manual therapy in addition to physiotherapy is not significantly better than physiotherapy alone.

• 出版日期2011-5