Reference values for range of motion and muscle function of the neck in infants

Anna Maria Ohman1, Eva R E Beckung

  • 1Department of Physiotherapy, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital/Ostra, Göteborg, Sweden. anna.ohman@vgregion.se

Insights

Healthy infants demonstrate robust cervical range of motion (ROM) and developing neck muscle function by 10 months. These findings establish crucial reference values for pediatric neck development.

Area of Science:

  • Pediatric physical therapy
  • Infant biomechanics
  • Developmental pediatrics

Background:

  • Establishing normative data for infant neck range of motion (ROM) and muscle function is essential for early detection of developmental abnormalities.
  • Congenital muscular torticollis (CMT) is a common condition in infants that affects neck posture and movement.

Purpose of the Study:

  • To establish reference values for cervical range of motion (ROM) in rotation and lateral flexion in healthy infants.
  • To determine reference values for lateral neck flexor muscle function in healthy infants.

Main Methods:

  • Cervical range of motion (ROM) was measured in 38 healthy infants.
  • Muscle function of the lateral neck flexors was estimated in the same infants.
  • Measurements were taken at 2, 4, 6, and 10 months of age.

Main Results:

  • Mean cervical rotation ROM was 110 degrees; mean lateral flexion ROM was 70 degrees.
  • Infant muscle function scores increased from a median of 1 (IQR, 1-2) at 2 months to 3-4 by 10 months.
  • These results indicate significant development in neck mobility and muscle strength during the first year of life.

Conclusions:

  • Healthy infants under 1 year exhibit good cervical ROM, with rotation >= 100 degrees and lateral flexion >= 65 degrees.
  • These reference values for passive ROM and neck muscle function can aid clinicians in evaluating infants with congenital muscular torticollis.
  • Utilizing these benchmarks supports accurate initial assessments and progress tracking for infants with neck conditions.
Abstract

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