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Updated: Jan 30, 2026
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Published on: February 2, 2024
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Manipulation techniques for infant torticollis
Summary
Manual manipulation techniques are not proven effective for infant torticollis treatment. Current evidence is limited and uncertain, suggesting caution when considering these interventions for infant neck conditions.
Area of Science:
- Pediatrics
- Manual Therapies
- Evidence-Based Medicine
Background:
- Infant torticollis is commonly treated with manipulation techniques by chiropractors, physiotherapists, and osteopaths.
- This review evaluates the efficacy and safety of these manipulation techniques for infant torticollis.
Approach:
- A comprehensive literature search was conducted across multiple databases (MEDLINE, EMBASE, CINAHL, Cochrane CENTRAL, AMED, PEDro, Index to Chiropractic Literature) in August 2017.
- Included were randomized controlled studies for efficacy and observational studies for adverse events.
Key Points:
- Two studies indicated manual therapy manipulation showed no significant difference compared to parental guidance, physiotherapy, or home exercises for infant torticollis.
- One study suggested osteopathy may improve symmetry, but clinical significance remains unclear.
- No serious adverse events were linked to manipulation in randomized trials or a large patient series, though harm is possible if underlying causes are severe.
Conclusions:
- Current evidence does not demonstrate the efficacy of manipulation techniques for infant torticollis.
- The existing evidence base is considered uncertain, necessitating cautious interpretation of findings.
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