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The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis

OBJECTIVE: To investigate the factors affecting rehabilitation outcomes in children with congenital muscular torticollis (CMT). METHODS: We retrospectively reviewed the medical records of 347 patients who were clinically suspected as having CMT and performed neck ultrasonography to measure sternocle...

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Autores principales: Lee, Jin-Youn, Koh, Seong-Eun, Lee, In-Sik, Jung, Heeyoune, Lee, Jongmin, Kang, Jung-Il, Bang, Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660478/
https://www.ncbi.nlm.nih.gov/pubmed/23705112
http://dx.doi.org/10.5535/arm.2013.37.2.183
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author Lee, Jin-Youn
Koh, Seong-Eun
Lee, In-Sik
Jung, Heeyoune
Lee, Jongmin
Kang, Jung-Il
Bang, Hyun
author_facet Lee, Jin-Youn
Koh, Seong-Eun
Lee, In-Sik
Jung, Heeyoune
Lee, Jongmin
Kang, Jung-Il
Bang, Hyun
author_sort Lee, Jin-Youn
collection PubMed
description OBJECTIVE: To investigate the factors affecting rehabilitation outcomes in children with congenital muscular torticollis (CMT). METHODS: We retrospectively reviewed the medical records of 347 patients who were clinically suspected as having CMT and performed neck ultrasonography to measure sternocleidomastoid (SCM) muscle thickness. Fifty-four patients met the inclusion criteria. Included were demographic characteristics as well as measurements of cervical range of motion (ROM), SCM muscle thickness, and the abnormal/normal (A/N) ratio, defined as the ratio of SCM muscle thickness on the affected to the unaffected side. RESULTS: Subjects were divided into three groups depending on degree of cervical ROM (group 1A: ROM>60, n=12; group 1B: 60≥ROM>30, n=31; group 1C: ROM≤30, n=11), the SCM muscle thickness (Th) (group 2A: Th<1.2 cm, n=23; group 2B: 1.2≤Th<1.4 cm, n=18; group 2C: Th≥1.4 cm, n=13), and the A/N ratio (R) (group 3A: R<2.2, n=19; group 3B: 2.2≤R<2.8, n=20; group 3C: R≥2.8, n=15). We found that more limited cervical ROM corresponded to longer treatment duration. The average treatment duration was 4.55 months in group 1A, 5.87 months in group 1B, and 6.50 months in group 1C. SCM muscle thickness and the A/N ratio were not correlated with treatment duration. CONCLUSION: Infants with CMT who were diagnosed earlier and had an earlier intervention had a shorter duration of rehabilitation. Initial cervical ROM is an important prognostic factor for predicting the rehabilitation outcome of patients with CMT.
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spelling pubmed-36604782013-05-23 The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis Lee, Jin-Youn Koh, Seong-Eun Lee, In-Sik Jung, Heeyoune Lee, Jongmin Kang, Jung-Il Bang, Hyun Ann Rehabil Med Original Article OBJECTIVE: To investigate the factors affecting rehabilitation outcomes in children with congenital muscular torticollis (CMT). METHODS: We retrospectively reviewed the medical records of 347 patients who were clinically suspected as having CMT and performed neck ultrasonography to measure sternocleidomastoid (SCM) muscle thickness. Fifty-four patients met the inclusion criteria. Included were demographic characteristics as well as measurements of cervical range of motion (ROM), SCM muscle thickness, and the abnormal/normal (A/N) ratio, defined as the ratio of SCM muscle thickness on the affected to the unaffected side. RESULTS: Subjects were divided into three groups depending on degree of cervical ROM (group 1A: ROM>60, n=12; group 1B: 60≥ROM>30, n=31; group 1C: ROM≤30, n=11), the SCM muscle thickness (Th) (group 2A: Th<1.2 cm, n=23; group 2B: 1.2≤Th<1.4 cm, n=18; group 2C: Th≥1.4 cm, n=13), and the A/N ratio (R) (group 3A: R<2.2, n=19; group 3B: 2.2≤R<2.8, n=20; group 3C: R≥2.8, n=15). We found that more limited cervical ROM corresponded to longer treatment duration. The average treatment duration was 4.55 months in group 1A, 5.87 months in group 1B, and 6.50 months in group 1C. SCM muscle thickness and the A/N ratio were not correlated with treatment duration. CONCLUSION: Infants with CMT who were diagnosed earlier and had an earlier intervention had a shorter duration of rehabilitation. Initial cervical ROM is an important prognostic factor for predicting the rehabilitation outcome of patients with CMT. Korean Academy of Rehabilitation Medicine 2013-04 2013-04-30 /pmc/articles/PMC3660478/ /pubmed/23705112 http://dx.doi.org/10.5535/arm.2013.37.2.183 Text en Copyright © 2013 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Jin-Youn
Koh, Seong-Eun
Lee, In-Sik
Jung, Heeyoune
Lee, Jongmin
Kang, Jung-Il
Bang, Hyun
The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
title The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
title_full The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
title_fullStr The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
title_full_unstemmed The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
title_short The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis
title_sort cervical range of motion as a factor affecting outcome in patients with congenital muscular torticollis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660478/
https://www.ncbi.nlm.nih.gov/pubmed/23705112
http://dx.doi.org/10.5535/arm.2013.37.2.183
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