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Impact of torticollis associated with plagiocephaly on infants' motor development

Irene Cabrera-Martos1, Marie Carmen Valenza, Gerald Valenza-Demet

  • 1From the *Department of Physical Therapy, Faculty of Health Sciences, University of Granada; †Early Care and Monitoring Unit, San Cecilio Clinical Hospital; and ‡Department of Pediatrics, Faculty of Medicine, University of Granada, Granada, Spain.

The Journal of Craniofacial Surgery
|January 9, 2015
PubMed

Insights

Infants with plagiocephaly and torticollis (congenital or acquired) show delayed gross motor skills like crawling and standing. Early identification and intervention are key for infant development.

Area of Science:

  • Pediatric physical therapy
  • Infant motor development
  • Cranial orthopedics

Background:

  • Plagiocephaly is common in infants, often co-occurring with torticollis.
  • Torticollis, involving neck muscle tightness, may impact infant movement.
  • Gross motor milestones are crucial indicators of healthy infant development.

Purpose of the Study:

  • To determine if torticollis influences gross motor milestone achievement in infants with plagiocephaly.
  • To compare motor development in infants with plagiocephaly alone versus plagiocephaly with torticollis.

Main Methods:

  • Prospective trial involving 175 infants with plagiocephaly (with or without torticollis).
  • Baseline anthropometric and clinical data collected.
  • Infants underwent physiotherapy and monthly assessments until discharge.

Main Results:

  • Significant delays in rolling, crawling, and standing were observed in infants with torticollis.
  • Torticollis remained a significant factor for delayed crawling and standing, even after adjusting for plagiocephaly severity and referral age.

Conclusions:

  • Torticollis (congenital or acquired) significantly impacts gross motor development in infants with plagiocephaly.
  • The presence of torticollis is a critical factor influencing the achievement of motor milestones.
Abstract

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