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Motor and cognitive development at one-year follow-up in infants with torticollis

Mitchell Schertz1, Luba Zuk, Sandra Zin

  • 1Institute for Child Development, Kupat Holim Meuhedet, Central Region, Herzeliya, Israel. mitch_s@meuhedet.co.il

Early Human Development
|March 17, 2007
PubMed

Insights

Infants with torticollis often show early gross motor delays but typically improve within a year. Cognitive development remains unaffected in the first year of life for these infants.

Area of Science:

  • Pediatric developmental assessment
  • Neurology
  • Physical therapy

Background:

  • Clinical observations indicate a potential link between infant torticollis and developmental delays.
  • Torticollis, a condition characterized by head tilt, may impact motor and cognitive progression.

Purpose of the Study:

  • To evaluate gross motor (GM) skills in infants diagnosed with torticollis at the time of presentation.
  • To document GM and cognitive outcomes during the first year of life.
  • To investigate the association between different types of torticollis and developmental outcomes.

Main Methods:

  • A prospective follow-up study was conducted involving infants referred for torticollis.
  • Gross motor function was assessed using the Alberta Infant Motor Scale, and cognitive function was evaluated with the CAT-CLAMS-r Developmental Assessment.
  • Data were collected from infants between 8 and 15 months of age.

Main Results:

  • Out of 101 infants with torticollis, 35% presented with suspect or abnormal gross motor function.
  • At follow-up, 75 out of 83 assessed infants demonstrated normal gross motor function, with most achieving this by one year of age.
  • Cognitive assessments revealed that 87% of infants had normal cognitive function, with no significant delays observed.

Conclusions:

  • Infants with torticollis face an elevated risk of early gross motor delays, though most achieve normal motor function by 12 months.
  • The study found no association between torticollis and delays in early cognitive development.
  • Early intervention and physical therapy are crucial for improving gross motor outcomes in infants with torticollis.
Abstract

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