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先天性肌性斜颈:弥合研究与临床实践之间的差距。

Congenital Muscular Torticollis: Bridging the Gap Between Research and Clinical Practice.

机构信息

Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California;

Department of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers University, Newark, New Jersey.

出版信息

Pediatrics. 2019 Aug;144(2). doi: 10.1542/peds.2019-0582.

Abstract

Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth, typically characterized by ipsilateral cervical lateral flexion and contralateral cervical rotation due to unilateral shortening of the sternocleidomastoid muscle. New evidence is emerging on the pathogenesis of CMT, the negative long-term consequences of delaying intervention, and the importance of early identification and early intervention to maximize outcomes. Our purpose in this article is to inform pediatricians and health care providers about new research evidence and share selected recommendations and implementation strategies specifically relevant to pediatric practice to optimize outcomes and health services for infants with CMT.

摘要

先天性肌性斜颈(CMT)是一种常见的姿势畸形,通常在出生后不久即可发现,其特征是由于胸锁乳突肌单侧缩短,导致同侧颈部向侧方弯曲和对侧颈部旋转。CMT 的发病机制、延迟干预的负面长期后果以及早期识别和早期干预以最大限度地改善结果的重要性方面出现了新的证据。我们撰写本文的目的是向儿科医生和医疗保健提供者介绍新的研究证据,并分享专门针对儿科实践的相关建议和实施策略,以优化患有 CMT 的婴儿的结局和卫生服务。

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