Tessmer Angela, Mooney Paula, Pelland Lucie
School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
Pediatr Phys Ther. 2010 Winter;22(4):378-83. doi: 10.1097/PEP.0b013e3181f940f3.
The aims of this review were to (1) identify and evaluate research evidence regarding the developmental outcomes of infants with congenital muscular torticollis (CMT) and (2) critically appraise and compare the outcomes of interventions targeting neck muscle extensibility and strength with those considering neck muscle function within the broader context of global infant development.
An association between CMT and early developmental delay is supported by levels 3B, 4, and 5 evidence; no evidence was found of longer-term influences of CMT on the development of perceptual, cognitive, and motor skills. The effectiveness of passive manual stretching is supported by levels 2A, 3B, 4, and 5 evidence; no clear evidence was found of the effectiveness of developmentally supportive interventions.
Controlled studies are needed to clarify the developmental consequences of CMT.
本综述的目的是：（1）识别并评估关于先天性肌性斜颈（CMT）婴儿发育结局的研究证据；（2）严格评估并比较针对颈部肌肉伸展性和力量的干预措施与在更广泛的全球婴儿发育背景下考虑颈部肌肉功能的干预措施的结局。
3B级、4级和5级证据支持CMT与早期发育迟缓之间的关联；未发现CMT对感知、认知和运动技能发展有长期影响的证据。2A级、3B级、4级和5级证据支持被动手法拉伸的有效性；未发现发育支持性干预措施有效性的明确证据。
需要进行对照研究以阐明CMT的发育后果。
