October 3, 2018 – Congenital muscular torticollis (CMT) is a common postural deformity in infants, and one that can be effectively treated by physical therapy. A set of updated, evidence-based recommendations for physical therapy management of CMT is presented in the October issue of Pediatric Physical Therapy. The journal is published in the Lippincott portfolio by Wolters Kluwer.
Reflecting the latest research relevant to the prevention, screening, and intervention of CMT, the 2018 update emphasizes the importance of early identification and referral for physical therapy. "Early intervention for infants with CMT, initiated before three to four months of age, results in excellent outcomes," according to the updated clinical practice guideline. The authors are Sandra L. Kaplan, PT, DPT, PhD, of Rutgers, The State University of New Jersey, Newark; Colleen Coulter, PT, DPT, PhD, PCS, of Children's Healthcare of Atlanta; and Barbara Sargent, PT, PhD, PCS, of University of Southern California, Los Angeles.
Latest Evidence to Guide Physical Therapy for Infants with CMT
Congenital muscular torticollis – sometimes called "twisted neck" or "wryneck" – is a postural deformity evident shortly after birth. Typically, affected infants tend to position their head tilted to one side and turned to the opposite side. The changes are due to shortening of the sternocleidomastoid muscle, a long muscle running from the collar bone to the base of the skull behind the ear. The reported incidence of CMT ranges from 4 to 16 percent of newborns.
The 2018 clinical practice guideline for physical therapy management of CMT reflects new research since the previous guidelines, published in 2013. The update includes 17 "action statements," supported by current research evidence, reviewed by expert practitioners, pediatricians, parents, and other stakeholders. Highlights of the new and updated action statements include:
For each recommendation, the strength of the supporting evidence is summarized and priorities for future research are discussed. The guidelines also include flow charts to guide early identification and referral to physical therapy for infants with CMT as well as for classification of CMT severity. The authors comment: "Our 2018 update of the CMT clinical practice guideline is intended as a reference document to guide physical therapists, families, health care professionals, and educators to improve clinical outcomes and health services for children with CMT, and to inform future research."
About Pediatric Physical Therapy
Pediatric Physical Therapy is the first and only peer-reviewed journal devoted to this discipline. The Journal provides a forum for scientific and professional exchange among researchers and practitioners throughout the world that represent subspecialties of the discipline, including early intervention, neonatology, pediatric sports and fitness, school physical therapy, acute care for seriously ill children, and the prevention of primary and secondary conditions that lead to disabling conditions. Official Journal of the Academy of Pediatric Physical Therapy of the American Physical Therapy Association, The Dutch Association for Pediatric Physical Therapy, Physiotherapia Paediatrica, The New Zealand Society of Physiotherapists Pediatric Special Interest Group, and The Pediatric Division of the Canadian Physiotherapy Association.
About Wolters Kluwer
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