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物理治疗对先天性肌性斜颈的治疗效果:一项系统评价

Effectiveness of the Treatment of Physiotherapy in the Congenital Muscular Torticollis: A Systematic Review.

作者信息

Rodríguez-Huguet Manuel, Rodríguez-Almagro Daniel, Rosety-Rodríguez Miguel Ángel, Vinolo-Gil Maria Jesus, Ayala-Martínez Carmen, Góngora-Rodríguez Jorge

机构信息

Department of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain.

Department of Nursing, Physical Therapy and Medicine, University of Almería, 04120 Almería, Spain.

出版信息

Children (Basel). 2023 Dec 20;11(1):8. doi: 10.3390/children11010008.

Abstract

A single congenital muscular torticollis (CMT) is a postural musculoskeletal deformity and is characterized by the shortening or stiffness of the sternocleidomastoid muscle. The reported incidence of CMT ranges from 0.2% to 2%. The objective is to evaluate the effect of physical therapy programs on CMT. For the search, PubMed, Scopus, Web of Science, PEDro and Cochrane databases were used. Randomized controlled trials published between 2018 and 2023 have been included. This study follows the PRISMA 2020 statement and has been registered in the PROSPERO database. Finally, six studies were included. The cervical range of motion (ROM) in rotation was the most analyzed variable, followed by the ultrasound evaluation; one of the studies included the analysis of children's motor development with the Alberta scale. All research found benefits associated with soft tissue mobilization, passive stretching techniques and manual therapy of the cervical spine. In conclusion, it is possible to recommend manual therapy and passive stretching techniques for the treatment of CMT, with significant results on the cervical ROM.

摘要

单纯性先天性肌性斜颈(CMT)是一种姿势性肌肉骨骼畸形,其特征是胸锁乳突肌缩短或僵硬。CMT的报告发病率在0.2%至2%之间。目的是评估物理治疗方案对CMT的效果。在检索过程中,使用了PubMed、Scopus、科学网、PEDro和Cochrane数据库。纳入了2018年至2023年发表的随机对照试验。本研究遵循PRISMA 2020声明,并已在PROSPERO数据库中注册。最后,纳入了六项研究。旋转时的颈椎活动范围(ROM)是分析最多的变量,其次是超声评估;其中一项研究包括用艾伯塔量表分析儿童的运动发育。所有研究都发现软组织松动术、被动拉伸技术和颈椎手法治疗有相关益处。总之,对于CMT的治疗,推荐手法治疗和被动拉伸技术是可行的,对颈椎ROM有显著效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34cb/10814226/99eed7fa4689/children-11-00008-g001.jpg

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