Torticollis Flashcards
what is the incidence of torticollis
3.9-16%
- more prevalent in males
what is theorized as a cause of torticollis
intrauterine/perinatal compartment syndrome
muscle trauma during birth
poor intrauterine posture
s/s of torticollis
head laterally flexed to one side and rotated oppositely (+/-) palpable mass
can favor one side
decreased contralateral ROM - lateral flexion/rotation
treatment goals for torticollis
increase A/PROM on affected side
increase strength on non-affected side
achieve midline head posture / symmetrical head & trunk movement
discharge requirements for torticollis
within 5 deg PROM of non-affected side
symmetric active head movement
no head tilt
age appropriate motor development
what can education look like for parents of children with torticollis
tummy time 3x a day
stretching techniques
positioning techniques
environment changes
what is plegiocephaly
cranial asymmetry due to malleable and growing cranium during the 1st year of life
what can cause plegiocephaly
pre/postnatal external compression
characteristic of plagiocephaly
unilateral parietooccipital flattening with ipsilateral frontal bossing/bulging
– facial asymmetry in severe cases
impairments associated with plagiocephaly
abnormal tone on one side
asymmetrical strength
asymmetrical ROM
abnormal midline posture
indication of helmet therapy
moderate-severe plagiocephaly / persisting at an advanced age
parent/caregiver education for those with children with plagiocephaly
tummy time - 3x for 5 min per day
counter-positioning techniques
HEP stretching exercises
recognition of positional preference
what is brachycephaly vs scaphocephaly
brachy = wide and short
scaph = long and narrow
