case 17: congenital msucalr toricollis

Question 1

what is the developmental tool appropriate for infants from birth through independent walking (0-18 months) use to identify gross motor performance of infants compared to norm referenced peers

Answer 1

alberta infant motor scales (AIMS)

Question 2

what is a breech birth

Answer 2

presentation of the fetus with buttocks or feet first prior to delivery

Question 3

what is a craniosynostosis

Answer 3

premature closure of cranial sutures; requires immediate referral to a pediatric neurosurgeon

Question 4

what is the mm function scale

Answer 4

6 point scale used to measure lateral cervical flexion strength in infants aged 2 months or older

Question 5

what are the general PT POC/goals fro CMT

Answer 5

resolution of CMT

no visible head tilt

Question 6

what are the PT interventions from CMT

Answer 6

parent education

passive neck ROM with manual strtching , strtching through carrying ,holding and positioning

Question 7

precautions during PT for CMT

Answer 7

passive stretching of cervical structures may be contraindicated in certain things

Question 8

complications interfering with PT with CMT

Answer 8

comorbitiies such as plagiocephaly , GI reflex , developmental delay , cardiac and neurologic conditions

Question 9

what is CMT

Answer 9

postural deformity in facts characterized by a unilateral shortening or fibrosis of the SCM resulting in head tilt toward and rotation away from the invovled side

Question 10

according to the APTA what should u do for a patient with CMT if intensive PT for 4-6 weeks does not help , the patient reaches a plateau within 6 months of treatment , the infant is older than 12 months on initial examination and presents with facial asymmetry and/or a 10° to 15° difference in r and L sides

Answer 10

recommend for consultation with a specialist

Question 11

for CMT is mesuring passive cervical ROM with an arthorodial protractor valid and reliable ?

Answer 11

yes

Question 12

what is the most common and effective intervention for CMT

Answer 12

passive manual stretching

Question 13

what are the more common supplemental interventions for CMT

Answer 13

KT and tubular orthosis for roticollis collar

this is grade C evidence doe

Question 14

the prognosis from complete resolution of CMT is excellent for infants who…?

Answer 14

receive intervention prior to 3 months of age

Question 15

t/f: abnormal mm tone is associated with CMT

Answer 15

false it is not typically associated with CMT