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Characteristics of Classified Congenital Muscular Torticollis Applied Therapeutic Massage and Manual Stretch Therapy During 6 Months

6개월간의 치료적 마사지와 도수신장 치료에 대한 선천성 근성 사경 환아의 유형별 특성

  • 김용욱 (전주대학교 대체의학대학 물리치료학과) ;
  • 김민희 (연세대학교 대학원 재활학과)
  • Received : 2010.01.04
  • Accepted : 2010.03.25
  • Published : 2010.04.28

Abstract

The main purpose of this prospective longitudinal study was to evaluate, according to a standard clinical classification and assessment method, the effect of a standardized manual stretching and therapeutic massage program on patients with clearly defined congenital muscular torticollis. A total of 52 cases of congenital muscular torticollis who were first seen when they were less than one year old and were treated with conservative physical therapy. Before treatment, the patients were divided into one of three clinical groups: (1) sternomastoid tumor group, (2) muscular torticollis group, and (3) postural torticollis group. Of the 52 patients, 32 (61.5%) made up the sternomastoid tumor group; 15 (28.9%) the muscular torticollis group; and 5 (9.6%) the postural torticollis group. Multivariate analysis of the outcomes showed that the duration of treatment was significantly differentiated according to the clinical group (p<0.01), age at presentation (p<0.01), and a passive rotation deficit of the neck (p<0.01). The current study showed that well controlled conservative physical therapy is safe and effective in the treatment of congenital torticollis in about 84.6% of patients who are first seen before the age of one year.

Keywords

Congenital Muscular Torticollis;Conservative Physical Therapy;Presentation Age

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