Related Experiment Video
Updated: May 30, 2026
Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
Clinical decision making regarding intervention needs of infants with torticollis
Julie Fradette1, Isabelle Gagnon, Eileen Kennedy
1School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
Insights
Pediatricians and physical therapists assess all infant torticollis cases, considering family and environmental factors. A comprehensive, family-centered approach using the ICF-CY framework is recommended for determining intervention needs.
Area of Science:
- Pediatric physical therapy
- Infant development
- Torticollis management
Background:
- Conservative care is standard for infant torticollis, but intervention approaches vary widely.
- This variation suggests a gap in understanding the specific needs of infants with torticollis.
- A clear framework is needed to guide intervention determination.
Purpose of the Study:
- To identify factors used by pediatricians and physical therapists in assessing intervention needs for infants with torticollis.
- To understand the clinical reasoning behind intervention decisions for this population.
Main Methods:
- Focus groups and surveys were employed to gather data from healthcare professionals.
- Identified factors were systematically mapped to the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY) framework.
- This approach ensures a comprehensive and standardized evaluation.
Main Results:
- Healthcare professionals believe all infants with torticollis require intervention.
- Assessment factors span all domains of the ICF-CY, indicating a holistic view.
- Crucial factors influencing intervention needs include family and environmental aspects.
Conclusions:
- A family-centered assessment approach is essential for accurately determining intervention needs in infants with torticollis.
- Utilizing the comprehensive ICF-CY framework ensures all relevant domains are considered.
- This integrated approach supports evidence-based and individualized care plans.
Purpose:
Although conservative care is the standard intervention for infants with torticollis, the variation in intervention content and format proposed in the literature reflects the lack of clear understanding of this population's needs. The objective was to identify factors assessed by pediatricians and physical therapists influencing the determination of intervention needs for infants with torticollis.
Methods:
Focus groups and surveys were used to generate a list of factors influencing determination of intervention needs. These factors were mapped to the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY).
Results:
Health care professionals report that all infants presenting with torticollis require intervention. They determine needs according to factors encompassing all ICF-CY domains. An important subset of factors relates to family and environment.
Conclusion:
Health care professionals should rely on a family-centered assessment encompassing all domains of the ICF-CY to adequately identify intervention needs of infants with torticollis.
Related Concept Videos
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome is...
01:25Critical Thinking II