Conservative Management of Congenital Muscular Torticollis: An Evidence-Based Algorithm and Preliminary Treatment Parameter Recommendations.

Purpose: To present an algorithm with accompanying treatment parameters for the management of congenital muscular torticollis (CMT) based on the best available literature. Methods: A systematic search of PubMed, MEDLINE, CINHAL, and Cochrane databases was conducted to identify evidence to guide the...

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Publicado en:Physical & Occupational Therapy in Pediatrics Vol. 33; no. 4; pp. 453 - 467
Autores principales: Christensen, Catie, Landsettle, Angela, Antoszewski, Sandra, Ballard, B. Blaire, Carey, Helen, Pax Lowes, Linda
Formato: algorithm research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2013
      vid: 33
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/01942638.2013.764959
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        104142281
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        atl: Conservative Management of Congenital Muscular Torticollis: An Evidence-Based Algorithm and Preliminary Treatment Parameter Recommendations.
      aug:
        au:
          Christensen, Catie
          Landsettle, Angela
          Antoszewski, Sandra
          Ballard, B. Blaire
          Carey, Helen
          Pax Lowes, Linda
        affil: The Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH, USA
      sug:
        subj:
          Torticollis Therapy
          Pediatric Physical Therapy Methods
          Human
          Ohio
          Physical Therapy Practice, Evidence-Based
          Occupational Therapy Practice, Evidence-Based
          Rehabilitation, Pediatric
          Systematic Review
          Infant
          PubMed
          Medline
          CINAHL Database
          Cochrane Library
          Algorithms
          Decision Making, Clinical
          Sternocleidomastoid Muscles Physiology
          Range of Motion
          Age Factors
          Descriptive Statistics
          Cervical Vertebrae Physiology
          Torticollis Symptoms
          Treatment Outcomes
          Stretching
          Muscle Strengthening
          Patient Positioning
          Infant: 1-23 months
      ab: Purpose: To present an algorithm with accompanying treatment parameters for the management of congenital muscular torticollis (CMT) based on the best available literature. Methods: A systematic search of PubMed, MEDLINE, CINHAL, and Cochrane databases was conducted to identify evidence to guide the conservative management of CMT. Results: An evidence-based algorithm was created based on three prognostic factors that influence treatment duration and outcome, including a sternocleidomastoid fibrotic mass, passive range of motion rotation deficit, and age at initiation of treatment. Preliminary treatment parameter recommendations for clinic and home programming accompany the algorithm. Conclusion: Use of the proposed evidence-based algorithm with accompanying preliminary treatment parameter recommendations may improve consistency of care and outcomes for infants with CMT. While a higher level of evidence supports the three prognostic factors utilized in the algorithm, research gaps continue to exist with regards to treatment parameters.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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