Related Experiment Video
Updated: May 14, 2026
Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
Published on: February 10, 2026
Conservative management of congenital muscular torticollis: an evidence-based algorithm and preliminary treatment
Catie Christensen1, Angela Landsettle, Sandra Antoszewski
1The Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH, USA.
Purpose:
To present an algorithm with accompanying treatment parameters for the management of congenital muscular torticollis (CMT) based on the best available literature.
Methods:
A systematic search of PubMed, MEDLINE, CINHAL, and Cochrane databases was conducted to identify evidence to guide the conservative management of CMT.
Results:
An evidence-based algorithm was created based on three prognostic factors that influence treatment duration and outcome, including a sternocleidomastoid fibrotic mass, passive range of motion rotation deficit, and age at initiation of treatment. Preliminary treatment parameter recommendations for clinic and home programming accompany the algorithm.
Conclusion:
Use of the proposed evidence-based algorithm with accompanying preliminary treatment parameter recommendations may improve consistency of care and outcomes for infants with CMT. While a higher level of evidence supports the three prognostic factors utilized in the algorithm, research gaps continue to exist with regards to treatment parameters.
