Congenital Muscular Torticollis (GOLD)

Question 1

What is Torticollis

Answer 1

Secondary to contraction of the sternocleidomastoid (SCM)

Head laterally flexed toward the muscle, and rotated away from contracted muscle.

Ipsilateral Lateral Flexion, Contralateral Rotation

Question 2

What may be the cause of CMT?

Answer 2

• Birth Trauma, breech delivery
• Breech/abnormal position in utero

(Babies may appear healthy at birth, but within a few days or weeks they develop swelling over the injured SCM)

Question 3

What information should be obtained to confirm diagnosis?

Answer 3

• Potential mass over the SCM
• Posturing of the neck

Homie you can see that shit.

Question 4

What additional finding may be present with CMT?

Answer 4

• Congenital Dysplasia of the Hips
• Facial Asymmetries
• Plagiocephaly

Question 5

Appropriate physical therapy interventions

Answer 5

• Passive stretching to the SCM (Contralateral SB + Ipsilateral Rotation to affectem SCM) (+ Extension)
• AROM exercises
• Family and caregiver education on proper positioning during feeding and during sleep.

Question 6

Outcomes to conservative treatment.

Answer 6

Large majority of patients with CMT respond to conservative treatment within the first year of life.