The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
Annals of Rehabilitation Medicine
;
: 183-190, 2013.
Article
Dans Anglais
| WPRIM
| ID: wpr-7648
ABSTRACT
OBJECTIVE:
To investigate the factors affecting rehabilitation outcomes in children with congenital muscular torticollis (CMT).METHODS:
We retrospectively reviewed the medical records of 347 patients who were clinically suspected as having CMT and performed neck ultrasonography to measure sternocleidomastoid (SCM) muscle thickness. Fifty-four patients met the inclusion criteria. Included were demographic characteristics as well as measurements of cervical range of motion (ROM), SCM muscle thickness, and the abnormal/normal (A/N) ratio, defined as the ratio of SCM muscle thickness on the affected to the unaffected side.RESULTS:
Subjects were divided into three groups depending on degree of cervical ROM (group 1A ROM>60, n=12; group 1B 60> or =ROM>30, n=31; group 1C ROM or =1.4 cm, n=13), and the A/N ratio (R) (group 3A R or =2.8, n=15). We found that more limited cervical ROM corresponded to longer treatment duration. The average treatment duration was 4.55 months in group 1A, 5.87 months in group 1B, and 6.50 months in group 1C. SCM muscle thickness and the A/N ratio were not correlated with treatment duration.CONCLUSION:
Infants with CMT who were diagnosed earlier and had an earlier intervention had a shorter duration of rehabilitation. Initial cervical ROM is an important prognostic factor for predicting the rehabilitation outcome of patients with CMT.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pronostic
/
Torticolis
/
Dossiers médicaux
/
Études rétrospectives
/
Amplitude articulaire
/
Résultat thérapeutique
/
Muscles
/
Cou
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Enfant
/
Humains
/
Bébé
langue:
Anglais
Texte intégral:
Annals of Rehabilitation Medicine
Année:
2013
Type:
Article
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