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Congenital muscular torticollis in children: distribution, treatment duration and out come

I Petronic1, R Brdar, D Cirovic

  • 1Department of Physical Medicine and Rehabilitation, University Children's Hospital, Belgrade, Serbia. denikol27@yahoo.com

European Journal of Physical and Rehabilitation Medicine
|May 21, 2010
PubMed

Insights

Right congenital muscular torticollis (CMT) is common in children. Younger patients experience shorter physical therapy durations and better outcomes, while boys show longer treatment times with similar results.

Area of Science:

  • Pediatric Orthopedics
  • Rehabilitation Medicine
  • Developmental Pediatrics

Background:

  • Congenital muscular torticollis (CMT) is a common pediatric condition affecting muscle development.
  • Understanding the epidemiological distribution and treatment nuances of CMT is crucial for effective management.

Purpose of the Study:

  • To determine the prevalence of left versus right CMT across genders and age groups.
  • To analyze physical therapy duration and treatment outcomes in relation to patient demographics.

Main Methods:

  • A retrospective study of 980 children diagnosed with CMT without hematoma.
  • Patients were categorized by torticollis side (left/right), gender, and age (5 groups from <1 month to >12 months).
  • Physical therapy duration and treatment outcomes were evaluated for each group.

Main Results:

  • A total of 496 cases in boys and 484 in girls were analyzed.
  • Right torticollis (522 cases) was slightly more prevalent than left torticollis (458 cases).
  • Median physical therapy duration varied significantly by age group, ranging from 1.5 months (<1 month old) to 10.3 months (>12 months old).

Conclusions:

  • Right torticollis is a frequent presentation in both genders and across pediatric age ranges.
  • Early diagnosis and intervention in younger children correlate with shorter treatment durations and improved outcomes.
  • While boys may require longer physical therapy, their treatment outcomes are comparable to girls.
Abstract

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