Cervical Spine: Torticollis

Question 1

Name the 3 types of Torticollis.

Answer 1

acquired
congenital
spasmodic

Question 2

Someone who has torticollis will have there head bend in what postion?

Answer 2

Contralateral Rotation

Lateral flexion.

Question 3

What are some of the causes that can lead to acquired Torticollis?

Answer 3

Idiopathis often
neck tauma
facet irritation
trigger points
nerve irritation ( might happen with a throat infection)

Question 4

What will the client present with if they have acquired torticollis?

Answer 4

Typical torticollis presentation
SCM spasm (possible other muscles involved to)
Often some level of pain/discomfort

Question 5

which one of the types of toritcollis is not due to spasm?

Answer 5

Congenital

Question 6

What causes congenital Toritcollis?

Answer 6

no clear cause it’s not a spasm and not painful the SCM just becomes contracted and fiberous within weeks after birth.

Question 7

Spasmodic Torticollis has what causes associated with it?

Answer 7

CNS driven

Stress

Question 8

What does spasmodic Torticollis present with in general and specifically individual to itself from the other types?

Answer 8

Typical torticollis presentation
Some level of pain from the spasm

Often presents with nodding of the head

Question 9

When treating Acquired Torticollis what are your main goals.

Answer 9

Reduce spasm and pain
address causative/ contributing factors
aim to de rotation first to make them for Fx

Question 10

When treating congenital Torticollis what is your main tool?

Answer 10

Stretching!

Question 11

When treating Spasmodic Torticollis what is your main goal?

Answer 11

s/s will reduce as you reduce stress

otherwise it’s pretty much medical intervention out side of your abilities.