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Enhancing the Development and Growth of Infant Cerebral Palsy Rats Using Selective Spinal Manipulations
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Infants With Congenital Muscular Torticollis Requiring Supplemental Physical Therapy Interventions

Kelly R Greve1, Courtney M Goldsbury, Erin A Simmons

  • 1Division of Occupational Therapy and Physical Therapy (Drs Greve, Goldsbury, and Simmons), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Rehabilitation, Exercise and Nutrition Sciences (Dr Greve), University of Cincinnati College of Allied Health Sciences, Cincinnati, Ohio.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|May 26, 2022
PubMed

Insights

Supplemental interventions (SI) were used in 9% of infants with congenital muscular torticollis (CMT), most commonly kinesiology tape. While SI use required more visits, it did not significantly alter CMT resolution rates.

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Congenital muscular torticollis (CMT) is a common condition in infants.
  • Treatment approaches for CMT vary, with a need to understand the role of supplemental interventions (SI).

Purpose of the Study:

  • To determine the frequency of SI use in infants diagnosed with CMT.
  • To compare outcomes between infants receiving only first-choice interventions versus those receiving SI.

Main Methods:

  • Retrospective data extraction from an infant registry.
  • Analysis of baseline and treatment variables for 907 infants, including 85 who received SI.

Main Results:

  • Kinesiology tape was the most frequent SI, followed by manual techniques, TOT collar, and the Benik system.
  • Infants receiving SI showed greater baseline passive cervical range of motion (ROM) limitations and muscle function deficits.
  • While SI group had more visits and longer treatment duration, CMT resolution rates were similar to the non-SI group.

Conclusions:

  • Approximately 9% of infants with CMT received SI, primarily kinesiology tape.
  • SI use was associated with more intensive treatment but comparable resolution rates.
  • Clearer guidelines and education are necessary for the appropriate application of SI in CMT management.
Abstract

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