Gray Gaelan Mahina, Tasso Kay H
Brooks Rehabilitation Hospital, University of St. Augustine, St. Augustine, FL 32086, USA.
Pediatr Phys Ther. 2009 Winter;21(4):369-74. doi: 10.1097/PEP.0b013e3181beca44.
This case report describes a method of differential diagnosis for torticollis in a 4-month-old male infant who also had hydrocephalus.
The infant presented to physical therapy (PT) with a "classic torticollis posture." Differential diagnosis was completed to determine the cause of the signs and the appropriate intervention. PT consisted of positioning, strengthening, stretching, and neuromuscular facilitation techniques to assist the infant to develop gross motor skills and a midline head position. A home exercise program was incorporated into the family's routines.
After 6 months of PT, the infant demonstrated considerable gains in cervical range of motion but continued to exhibit gross motor delay and difficulty in maintaining the head in midline. Intervention for infants with torticollis should address corrective positioning to facilitate symmetry during positioning and handling. Differential diagnosis is critical in establishing the appropriate plan of care.
本病例报告描述了一名4个月大患有脑积水的男婴斜颈的鉴别诊断方法。
该婴儿因“典型斜颈姿势”接受物理治疗（PT）。完成了鉴别诊断以确定体征的原因及合适的干预措施。物理治疗包括体位摆放、强化训练、拉伸以及神经肌肉促进技术，以帮助婴儿发展粗大运动技能并保持头部处于中线位置。家庭锻炼计划融入了家庭日常活动中。
经过6个月的物理治疗，婴儿颈部活动范围有显著改善，但仍存在粗大运动发育迟缓以及难以保持头部处于中线位置的问题。对斜颈婴儿的干预应注重矫正体位，以便在体位摆放和护理过程中促进对称性。鉴别诊断对于制定合适的护理计划至关重要。
