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Therapeutic effect of microcurrent therapy in infants with congenital muscular torticollis
Min Young Kim1, Dong Rak Kwon, Hak Il Lee
1Department of Physical Medicine and Rehabilitation, CHA University College of Medicine, Bundang CHA Hospital, Kyonggi-do, Korea.
Insights
Microcurrent therapy significantly improved head tilting angle and neck rotation in infants with torticollis. This treatment also resulted in less crying during therapy compared to traditional methods.
Area of Science:
- Pediatric Physical Therapy
- Rehabilitative Medicine
- Infant Health
Background:
- Torticollis is a common condition in infants, characterized by head tilt and limited neck rotation.
- Traditional treatments often involve stretching and ultrasound therapy.
- The efficacy of microcurrent therapy for infantile torticollis requires further investigation.
Purpose of the Study:
- To evaluate the therapeutic effectiveness of microcurrent therapy in infants diagnosed with torticollis.
- To compare the outcomes of microcurrent therapy with traditional ultrasound therapy combined with stretching exercises.
- To assess the impact on key clinical measurements and patient compliance.
Main Methods:
- A prospective, unblinded, controlled trial was conducted with 15 infants.
- The control group (CG) received ultrasound therapy and stretching exercises.
- The experimental group (EG) received microcurrent therapy and stretching exercises.
- Treatment involved 3 sessions per week for 2 consecutive weeks.
Main Results:
- The experimental group showed significantly greater improvement in head tilting angle (TA) (P < .01) and neck rotation range of motion (RR) (P < .05) compared to the control group.
- Infants receiving microcurrent therapy exhibited a significantly lower incidence of crying during treatment (P < .05).
- Mean TA improved from 15.7 to 6.7 degrees in the EG, versus 16.3 to 13.9 degrees in the CG.
Conclusions:
- Microcurrent therapy demonstrates superior effectiveness in improving both head tilting angle and neck rotation in infants with torticollis.
- The study suggests better therapeutic compliance with microcurrent therapy due to reduced crying.
- Microcurrent therapy presents a promising alternative or adjunct to traditional treatments for infantile torticollis.
Objective:
The aim of this study was to determine whether microcurrent therapy is therapeutically effective in infants with torticollis.
Design:
Prospective, unblinded, controlled trial.
Setting:
Bundang CHA Hospital.
Subjects:
Fifteen infants were included in this study who received torticollis treatment from April to July 2008. The control group (CG) included 8 infants (3 male, 5 female) with a mean age of 7.1 months. The experimental group (EG) included 7 infants (6 male, one female) with a mean age of 10 months.
Methods:
The CG underwent stretching exercises for 30 minutes after ultrasound therapy and the EG underwent stretching exercises for 2 minutes after microcurrent therapy for 30 minutes. Each group received 3 treatments per week for 2 consecutive weeks.
Main Outcome Measures:
Measurements included head tilting angle at supine (TA) and neck rotation range of motion to the affected side (RR) at the first day and the 14th day of treatment. The incidence of crying during therapy also was recorded. The results were assessed by Mann-Whitney U and the Fisher exact tests.
Results:
In the CG, 4 infants showed TA improvement, one infant showed RR improvement, and 8 infants cried during therapy. In the EG, 6 infants showed TA improvement, 5 infants showed RR improvement, and 3 infants cried during therapy. In the CG, mean TA was 16.3 +/- 9.2 degrees at the first day and 13.9 +/- 8.2 degrees at the 14th day of treatment. In the EG, mean TA was 15.7 +/- 8.2 degrees at the first day and 6.7 +/- 4.3 degrees at the 14th day of treatment. TA improvement was greater in the EG (P < .01) as compared with the CG. In the CG, mean RR was 65.0 +/- 24.6 degrees at the first day and 66.3 +/- 25.7 degrees at the 14th day of treatment. In the EG, mean RR was 70.0 +/- 11.5 degrees at the first day and 80.7 +/- 6.7 degrees at the 14th day of treatment. RR showed greater improvement in the EG (P < .05). The incidence of crying during therapy was significantly lower in the EG (P < .05).
Conclusion:
Microcurrent therapy in infants with torticollis appears more effective in improving TA and RR and shows better therapeutic compliance than traditional therapy.
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