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Unresolved Congenital Torticollis and Its Consequences: A Report of 2 Cases
1Chiropractor, Holbeinpraxis, Swiss Academy for Chiropractic, Berne, Switzerland.
Insights
Congenital muscular torticollis in two boys improved with chiropractic care and physical therapy. This combined approach addressed both structural and functional deficits, suggesting a beneficial treatment strategy for similar cases.
Area of Science:
- Pediatric Chiropractic
- Developmental Pediatrics
- Clinical Case Study
Background:
- Congenital muscular torticollis (CMT) can lead to significant postural and developmental challenges in children.
- Early identification and intervention are crucial for managing the complex symptoms associated with CMT.
Observation:
- Two young males with diagnosed congenital muscular torticollis presented with plagiocephaly, facial asymmetry, and delayed motor skills.
- Clinical examination revealed restricted cervical spine mobility and compensatory thoracic scoliosis in both patients.
Findings:
- A multimodal treatment plan combining chiropractic spinal manipulative therapy and physical therapy, including therapeutic exercises, was implemented.
- Both patients demonstrated marked improvement in posture, cervical range of motion, and coordination following the intervention.
Implications:
- These findings suggest that a comprehensive, biomechanically and sensorimotor-focused therapeutic approach may be effective for managing congenital muscular torticollis.
- Integrated care models incorporating chiropractic and physical therapy can offer significant benefits for pediatric patients with CMT.
Objective:
The purpose of this report was to describe the clinical presentation and case management of 2 children with congenital torticollis.
Clinical Features:
Two male children (ages 6 and 10 years) presented to a chiropractic clinic with a history of congenital torticollis. They showed signs and symptoms of postural deficiency and developmental delay: posterior plagiocephaly, facial scoliosis, head tilt, compensatory thoracic scoliosis, decreased range of motion in the cervical spine, palpable decreased segmental motion of the upper cervical spine, and an age-related delay in throwing and catching a ball and in one-leg standing.
Intervention And Outcome:
Both children received chiropractic care (spinal manipulative therapy) and physical therapy (therapeutic exercises, including neck, back, and coordination exercises). Each patient responded favorably with improvement in both structural (posture) and functional (range of motion of the spine and coordination) deficits.
Conclusions:
Both patients responded favorably to the combined therapy. These findings suggest that children with congenital torticollis may benefit from a treatment plan that includes a broad therapeutic approach based on the principles of biomechanics and sensorimotor development.
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