先天性肌性斜颈需补充物理治疗干预的婴儿。
Infants With Congenital Muscular Torticollis Requiring Supplemental Physical Therapy Interventions.
机构信息
Division of Occupational Therapy and Physical Therapy (Drs Greve, Goldsbury, and Simmons), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Rehabilitation, Exercise and Nutrition Sciences (Dr Greve), University of Cincinnati College of Allied Health Sciences, Cincinnati, Ohio.
出版信息
Pediatr Phys Ther. 2022 Jul 1;34(3):335-341. doi: 10.1097/PEP.0000000000000906. Epub 2022 May 25.
PURPOSE
To describe supplemental intervention (SI) frequency in infants with congenital muscular torticollis (CMT) and compare groups of infants who received first-choice intervention only to infants who received SI.
METHODS
Data were retrospectively extracted from a registry. Baseline and treatment variables were collected and analyzed.
RESULTS
The cohort included 907 infants with 85 receiving SI. Order of SI frequency was kinesiological tape, manual techniques, tubular orthosis for torticollis (TOT) collar, and the Benik system. Statistically significant differences were found in baseline age, passive cervical range of motion (ROM), muscle function, and treatment time between groups. A positive association was found for CMT presentation, classification grade, plagiocephaly type, and external referrals between groups.
CONCLUSIONS
Nine percent of infants received SI, most frequently kinesiological tape. Infants who received SI had larger baseline passive ROM and muscle function differences and more visits over a longer duration but had similar CMT resolution. Education is needed when using SI.
目的
描述先天性肌性斜颈（CMT）婴儿的补充干预（SI）频率，并比较仅接受首选干预的婴儿组与接受 SI 的婴儿组。
方法
从注册处回顾性提取数据。收集并分析基线和治疗变量。
结果
该队列包括 907 名婴儿，其中 85 名接受了 SI。SI 的频率顺序为运动贴扎、手法技术、TOT 颈托、Benik 系统。组间在基线年龄、被动颈椎活动度（ROM）、肌肉功能和治疗时间方面存在显著差异。CMT 表现、分类等级、扁头畸形类型和外部转诊在组间呈正相关。
结论
9%的婴儿接受了 SI，最常见的是运动贴扎。接受 SI 的婴儿基线时被动 ROM 和肌肉功能差异较大，就诊次数较多，持续时间较长，但 CMT 缓解情况相似。在使用 SI 时需要进行教育。
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