Torticollis

Question 1

Signs and Symptoms

Answer 1

Twisted Neck

• head tilt with rotation opposite
• elevated shoulder girlde
• lump/mass in SCM
• limited ROM
• difficulty visual tracking
• assymetry of face/skull
• difficulty breast feeding
• plagiocephaly co-existing 80-90%
• hip dysplagia 20%
• scoliosis
• club foot
• metarsus adductus

Question 2

Types

Answer 2

Congenital

• present at birth
• most common
• SCM compartment syndrome
• palpable mass
• traumatic during birth
• ischemic injury
• intrauterine positioning

Aquired

• acute traumatic
• spasmodic
• non traumatic - bony deformities etc

Question 3

Causes of Torticolls

Answer 3

• breech birth
• large birth weight
• sustained head down position
• decreased circulation to SCM
• cervical spine anomaly/malformation
• forceps delivery

Question 4

physical features

Answer 4

• plagiocephaly
• asymmetry of ears
• depression of the side of the neck
• flattening of the mandible
• upward tilting of the lower jaw and gums
• elevation of TMJ
• limited movement of the neck
• asymmetries of the back, chest, hips and ft

Question 5

Treatment Torticollis

Answer 5

• Regain passive and active ROM
• skin integrity
• facilitate WB/WS
• righting and equillibrium rxns
• visual tracking 18- deg up/down
• dissociatino of head from eyes and eyes from head
• helmet
• tot collar