Heidenreich Emily, Johnson Robert, Sargent Barbara
Rehabilitation Services (Dr Heidenreich), Arkansas Children's Hospital, Little Rock, Arkansas; Division of Biokinesiology and Physical Therapy (Dr Sargent), Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California; Norris Medical Library (Mr Johnson), University of Southern California, Los Angeles, California.
Pediatr Phys Ther. 2018 Jul;30(3):164-175. doi: 10.1097/PEP.0000000000000517.
To systematically review the recent evidence on physical therapy (PT) diagnosis, prognosis, and intervention of congenital muscular torticollis to inform the update to the PT management of congenital muscular torticollis evidence-based clinical practice guideline.
From 2012 to 2017, 7 databases were searched for studies that informed PT diagnosis, prognosis, or intervention of infants and children with congenital muscular torticollis. Studies were appraised for risk of bias and quality.
Twenty studies were included. No studies informed PT diagnosis. Fourteen studies informed prognosis, including factors associated with presence of a sternocleidomastoid lesion, extent of symptom resolution, treatment duration, adherence to intervention, cervical spine outcomes, and motor outcome. Six studies informed intervention including stretching frequency, microcurrent, kinesiology tape, group therapy, and postoperative PT.
New evidence supports that low birth weight, breech presentation, and motor asymmetry are prognostic factors associated with longer treatment duration. Higher-level evidence is emerging for microcurrent intervention.
系统回顾近期关于先天性肌性斜颈物理治疗（PT）诊断、预后及干预的证据，为先天性肌性斜颈循证临床实践指南中PT管理的更新提供参考。
检索2012年至2017年期间的7个数据库，查找有关先天性肌性斜颈婴幼儿PT诊断、预后或干预的研究。对研究进行偏倚风险和质量评估。
纳入20项研究。没有研究涉及PT诊断。14项研究涉及预后，包括与胸锁乳突肌病变存在相关的因素、症状缓解程度、治疗持续时间、干预依从性、颈椎结局和运动结局。6项研究涉及干预，包括拉伸频率、微电流、肌内效贴布、团体治疗和术后PT。
新证据支持低出生体重、臀位产和运动不对称是与较长治疗持续时间相关的预后因素。微电流干预的高级别证据正在出现。
