torticollis

Question 1

Describe the basic use of a helmet for treating plagiocephaly?

Answer 1

Early intervention is crucial. Change positions often. Use Helmet if older than 3 months and repositioning is not affective. Worn 23 hrs a day. Adjusted weekly or bi-weekly. Treatment lasts 3-4 months.

Question 2

Untreated torticollis and/or plagiocephaly can lead to long term complications with?

Answer 2

-Respiration
◦Gastrointestinal system
◦Flow of blood,lymph
◦Hearing
◦Swallowing/feeding

Question 3

Home interventions for torticollis includes?

Answer 3

• Positional changes
• Tummy time (extra time in prone)
• Stretch (avoid pressure to jaw, carotid artery and soft spots)
• strengthen the muscles and encourage symmetrical movements

Question 4

What are physical factors that affect the prognosis of torticollis?

Answer 4

• Age of diagnosis
• Fibrous mass present at initial diagnosis.
• ROM (the more restricted the worse the prognosis)
• Support (family or caregiver)
• Distance to a clinic

Question 5

What should be included in a treatment plan for torticollis?

Answer 5

• ROM
• Stretching 5-7 minutes
• AROM 5-7 minutes as tolerated (playing w/ toys)
• Prone position
• Ball play

Question 6

If patient does not improve from treatment of torticollis in 6 months, what should be done?

Answer 6

Re-examine to rule out non-muscular etiology and reefer out to physician.

Question 7

When should BOTOX be used for treating Torticollis?

Answer 7

Botox is used when conservative treatment fails and a last effort before resulting to surgery.