A randomized controlled study on the efficiency of soft tissue mobilization in babies with congenital muscular torticollis
Journal of Back and Musculoskeletal Rehabilitation, cilt.31, sa.2, ss.315-321, 2018 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 2
- Basım Tarihi: 2018
- Doi Numarası: 10.3233/bmr-169746
- Dergi Adı: Journal of Back and Musculoskeletal Rehabilitation
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.315-321
- Anahtar Kelimeler: Congenital muscular torticollis, musculoskeleteal manipulations, pediatric physiotherapy
- Trakya Üniversitesi Adresli: Evet
Özet
Backround: Soft tissue mobilization techniques (STM) are used in clinical practice in treatment of congenital muscular torticollis(CMT).However, little is known about its effectiveness. Objectives: To investigate whether using STM to manage CMT in babies with mild to moderate head tilt was effective or not. Methods: Twenty-nine babies with CMT aged between 0-6 months, who had a head tilt from 5 to 20 degrees were allocated to two groups. Both groups received a baseline home program (positioning, handling strategies, stretching and strengthening exercises, environmental adaptations). The study group (SG) also received STM three times a week. Babies were evaluated initially, at six weeks, at 12 weeks and for follow-up at 18 weeks with muscle function scale, head tilt and range of motion for neck lateral flexion and rotation. Results: Both groups showed significant improvements in all measured parameters (p < 0.05). In comparison of groups, there were differences at six weeks in favor of the SG for neck rotation (0.001) and head tilt (= 0.006); but at 12 weeks and follow up, there were no longer any differences between the groups in any of the measured parameters. Conclusions: STM techniques are effective in getting faster positive results in the treatment of CMT.