Department of Physical Medicine and Rehabilitation, University Children's Hospital, Belgrade, Serbia.
Eur J Phys Rehabil Med. 2010 Jun;46(2):153-7. Epub 2009 Dec 15.
The aim of the study was to evaluate the proportion of left and right congenital muscular torticollis (CMT) in both genders and age groups of the patients as well as to evaluate the duration of physical therapy and treatment outcome in observed population.
In our study, 980 children with CMT without hematoma were treated at University children's Hospital of Belgrade (Serbia). They were divided into 2 groups: group with left torticollis and group with right torticollis. Boys and girls were separately evaluated. Patients were classified into 5 age groups: group of children less than one month of life, group above one to 3 months, group above 3 months to 6 months, group above 6 months to 12 months and group of children above 12 months of life. Optimal time for physical therapy was analyzed in every age group.
We diagnosed 496 torticollis in boys and 484 torticollis in girls. There were 458 children with left torticollis and 522 children with right torticollis. In group of children less than one month of life median duration of physical therapy was 1.5+/-0.3 months, in group above one to 3 months of life 5.9+/-0.6, in group above 3 to 6 months 7.2+/-0.6, in group above 6 to 12 months 9.8+/-0.6 and in group of children above 12 months of life 10.3+/-0.8 months.
Right torticollis is frequent in both genders and age groups. Younger children have lower treatment duration and better treatment outcome. Boys have longer treatment duration and not significantly better treatment outcome.
本研究旨在评估男女患者左、右侧先天性肌性斜颈（CMT）的比例以及观察人群中物理治疗的持续时间和治疗效果。
在我们的研究中，980 名无血肿的 CMT 患儿在贝尔格莱德大学儿童医院（塞尔维亚）接受治疗。他们被分为两组：左侧斜颈组和右侧斜颈组。男孩和女孩分别进行评估。患者被分为 5 个年龄组：小于 1 个月的婴儿组、1 至 3 个月的婴儿组、3 至 6 个月的婴儿组、6 至 12 个月的婴儿组和 12 个月以上的儿童组。分析了每个年龄组的最佳物理治疗时间。
我们诊断出 496 例男孩斜颈和 484 例女孩斜颈。有 458 例左侧斜颈患儿和 522 例右侧斜颈患儿。1 个月以下婴儿组的物理治疗中位持续时间为 1.5+/-0.3 个月，1 至 3 个月婴儿组为 5.9+/-0.6 个月，3 至 6 个月婴儿组为 7.2+/-0.6 个月，6 至 12 个月婴儿组为 9.8+/-0.6 个月，12 个月以上儿童组为 10.3+/-0.8 个月。
男女各年龄组中右侧斜颈均较常见。年龄较小的患儿治疗时间较短，治疗效果较好。男孩治疗时间较长，但治疗效果无显著差异。
