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Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database

BACKGROUND: Congenital muscular torticollis (CMT) is a common musculoskeletal disorder occurring at birth or in infancy. PURPOSE: This study aimed to investigate the risk of comorbidities in CMT and explore the differences in neurodevelopmental outcomes between children who received physical therapy...

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Autores principales: Kim, Og Hyang, Lee, Seung Won, Ha, Eun Kyo, Kim, Ju Hee, Jo, Yun Hye, Rhie, Seongyeong, Han, Man Yong, Chae, Kyu Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Pediatric Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171465/
https://www.ncbi.nlm.nih.gov/pubmed/34886594
http://dx.doi.org/10.3345/cep.2021.01417
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author Kim, Og Hyang
Lee, Seung Won
Ha, Eun Kyo
Kim, Ju Hee
Jo, Yun Hye
Rhie, Seongyeong
Han, Man Yong
Chae, Kyu Young
author_facet Kim, Og Hyang
Lee, Seung Won
Ha, Eun Kyo
Kim, Ju Hee
Jo, Yun Hye
Rhie, Seongyeong
Han, Man Yong
Chae, Kyu Young
author_sort Kim, Og Hyang
collection PubMed
description BACKGROUND: Congenital muscular torticollis (CMT) is a common musculoskeletal disorder occurring at birth or in infancy. PURPOSE: This study aimed to investigate the risk of comorbidities in CMT and explore the differences in neurodevelopmental outcomes between children who received physical therapy and those who did not. METHODS: Children with CMT born in 2008 and 2009 in Korea were included. CMT was defined as a primary diagnosis of congenital deformity of sternocleidomastoid muscle according to the International Classification of Diseases 10th revision. Here we investigated the associated neurological/musculoskeletal comorbidities of children with CMT versus those of the general population. We divided those with torticollis into treatment and nontreatment groups and assessed their developmental outcomes within both groups of children using the Korean-Ages and Stages Questionnaire (K-ASQ). RESULTS: Of the 917,707 children, 0.2% (n=1,719) were diagnosed with CMT. In children with torticollis, the prevalence of congenital hip deformities significantly increased to 4.5% (n=78). The prevalence of congenital head/spine deformities and other congenital malformations of the skull and facial bones increased to 2.6% (n=44), while the prevalence of congenital foot deformities was 2.4% (n=42). The risk ratio (RR) for delayed development based on the K-ASQ was higher for the total assessment (adjusted RR=0.97; 95% confidence interval, 0.93–0.99) in the CMT patients without physical therapy than in those with therapy. There was no significant intergroup difference in the assessment of each developmental area. CONCLUSION: The prevalence of comorbid musculoskeletal deformities was higher in children with CMT than in the control group. The risk of developmental delay was higher in children who did not receive physical therapy than in those who did.
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spelling pubmed-91714652022-06-10 Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database Kim, Og Hyang Lee, Seung Won Ha, Eun Kyo Kim, Ju Hee Jo, Yun Hye Rhie, Seongyeong Han, Man Yong Chae, Kyu Young Clin Exp Pediatr Original Article BACKGROUND: Congenital muscular torticollis (CMT) is a common musculoskeletal disorder occurring at birth or in infancy. PURPOSE: This study aimed to investigate the risk of comorbidities in CMT and explore the differences in neurodevelopmental outcomes between children who received physical therapy and those who did not. METHODS: Children with CMT born in 2008 and 2009 in Korea were included. CMT was defined as a primary diagnosis of congenital deformity of sternocleidomastoid muscle according to the International Classification of Diseases 10th revision. Here we investigated the associated neurological/musculoskeletal comorbidities of children with CMT versus those of the general population. We divided those with torticollis into treatment and nontreatment groups and assessed their developmental outcomes within both groups of children using the Korean-Ages and Stages Questionnaire (K-ASQ). RESULTS: Of the 917,707 children, 0.2% (n=1,719) were diagnosed with CMT. In children with torticollis, the prevalence of congenital hip deformities significantly increased to 4.5% (n=78). The prevalence of congenital head/spine deformities and other congenital malformations of the skull and facial bones increased to 2.6% (n=44), while the prevalence of congenital foot deformities was 2.4% (n=42). The risk ratio (RR) for delayed development based on the K-ASQ was higher for the total assessment (adjusted RR=0.97; 95% confidence interval, 0.93–0.99) in the CMT patients without physical therapy than in those with therapy. There was no significant intergroup difference in the assessment of each developmental area. CONCLUSION: The prevalence of comorbid musculoskeletal deformities was higher in children with CMT than in the control group. The risk of developmental delay was higher in children who did not receive physical therapy than in those who did. Korean Pediatric Society 2021-12-09 /pmc/articles/PMC9171465/ /pubmed/34886594 http://dx.doi.org/10.3345/cep.2021.01417 Text en Copyright © 2022 by The Korean Pediatric Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Og Hyang
Lee, Seung Won
Ha, Eun Kyo
Kim, Ju Hee
Jo, Yun Hye
Rhie, Seongyeong
Han, Man Yong
Chae, Kyu Young
Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database
title Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database
title_full Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database
title_fullStr Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database
title_full_unstemmed Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database
title_short Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database
title_sort neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the national health screening program for infants and children database
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171465/
https://www.ncbi.nlm.nih.gov/pubmed/34886594
http://dx.doi.org/10.3345/cep.2021.01417
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