torticollis and cranial deformity

Question 1

full resolution of torticollis is likely if the infant is referred when < ___ months

Answer 1

<3 months

Question 2

Torticollis,
75% potential of full resolution for infants referred ____ months of age
30% potential for infants referred ___ months of age (increased potential for surgical release)

Answer 2

1) 3-6 months

2) 6-18

Question 3

Torticollis
If therapy started before __ month of age, 98% with full ROM by 1.5 months
If therapy started after __ month, therapy usually lasts 6 months
If therapy started after __ months, requires 9 to 10 months of intervention with less chance of full ROM

Answer 3

1) 1
2) 1
3) 6

Question 4

Torticollis may be associated with this LE condition as turning of the head is required to counterbalance the misaligned LE

Answer 4

DDH (developmental dysplasia of hip)

Question 5

Torticollis may develop in addition to a brachial plexus injury because the arm on the ______ side will be favored

Answer 5

unaffected

Question 6

3 types of torticollis from mild to severe:

Answer 6

postural
muscular
nodular

Question 7

type of torticollis; mildest, positional head rotation preference, no nodule, initially no ROM limitations, can lead to CD and secondary ROM limitations

Answer 7

postural

Question 8

type of torticollis; unilateral shortening of SCM affecting rotation and lateral flexion, no nodule

Answer 8

muscular

Question 9

type of torticollis; limitation of cervical rotation and lateral flexion, lower 1/3 of SCM responsive to conservative approach,
middle 1/3 of SCM or 1/3 upper entire SCM less responsive

Answer 9

nodular

Question 10

Torticollis intervention Big 5:

Answer 10

Neck PROM
Neck and trunk AROM
Development of symmetrical movement
Environmental adaptations
Parent/ caregiver education

Question 11

minimum amount of recommended tummy time

Answer 11

1 hr a day

Question 12

cranial deformities:
Posterior unilateral flatness = _________
Bilateral posterior flattening = _________
Flattening of both sides of the skull = __________

Answer 12

1) plagiocephaly
2) brachycephaly
3) scaphocephaly

Question 13

CD prognosis:
___% full resolution after patient education in repositioning
___% full resolution after cranial remolding therapy

Poorer prognosis associated with
Intervention initiated after ___months of age
Persistence beyond ___ months of age

Answer 13

1) 77%
2) 94-96%
3) 3
4) 6