Physical therapy examination and intervention of congenital muscular torticollis in the ICF-CY framework

doi:10.3877/cma.j.issn.1674-0785.2019.01.015

Abstract

Abstract:

Congenital muscular torticollis (CMT) is typically characterized by lateral ?exion of the head to one side and cervical rotation to the opposite side due to unilateral shortening of the sternocleidomastoid muscle. Infants with CMT under the age of 1 year old are frequently treated with physical therapy, such as manual stretching and mass massage, and are evaluated by visual or angular measurement. However, there are no consensus on the techniques to perform the physical therapy examination and intervention. The International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) is an international tool for recording and describing the functions, disability, and health status of children and adolescents, emphasizing that the condition of the disease or health is determined by the combination of body structure and function, activity, participation, and environmental factors, and the treatment of this disease requires overall analysis and integrated intervention. This article applies the ICF-CY framework to review the physical therapy examination and intervention of CMT.

Key words: Congenital muscular torticollis, International Classification of Functioning, Disability and Health-Children and Youth Version, Physical therapy examination, Therapy

Ling Shan, Honghua Li, Bing Wang, Feiyong Jia, Lin Du. Physical therapy examination and intervention of congenital muscular torticollis in the ICF-CY framework[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(01): 69-73.

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References 46

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得分	头与躯干的关系	头与躯干水平线的夹角
0	头在躯干水平线以下	＜0°（头在躯干水平线以下）
1	头与躯干水平线重叠	0°（头与躯干水平线重叠）
2	头略高于躯干水平线	0~15°（头在躯干水平线以上）
3	头明显高于躯干水平线，＜45°	15°~45°（头在躯干水平线以上）
4	头明显高于躯干水平线，＞45°	45°~75°（头在躯干水平线以上）
5	头接近垂直位	＞75°（头在躯干水平线以上）

得分	头与躯干的关系	头与躯干水平线的夹角
0	头在躯干水平线以下	＜0°（头在躯干水平线以下）
1	头与躯干水平线重叠	0°（头与躯干水平线重叠）
2	头略高于躯干水平线	0~15°（头在躯干水平线以上）
3	头明显高于躯干水平线，＜45°	15°~45°（头在躯干水平线以上）
4	头明显高于躯干水平线，＞45°	45°~75°（头在躯干水平线以上）
5	头接近垂直位	＞75°（头在躯干水平线以上）

分级	就诊年龄	临床表现
1级	0~6个月	姿势性斜颈；或患侧胸锁乳突肌紧张、双侧颈部旋转角度差＜15°
2级	0~6个月	患侧胸锁乳突肌紧张、双侧颈部旋转角度差15°~30°
3级	0~6个月	患侧胸锁乳突肌紧张、双侧颈部旋转角度差＞30°；或胸锁乳突肌存在包块
4级	7~9个月	姿势性斜颈；或患侧胸锁乳突肌紧张、双侧颈部旋转角度差＜15°
5级	10~12个月	姿势性斜颈；或患侧胸锁乳突肌紧张、双侧颈部旋转角度差＜15°
6级	7~12个月	患侧胸锁乳突肌紧张、双侧颈部旋转角度差＞15°
7级	＞7个月	存在胸锁乳突肌包块；或年龄＞12个月、双侧颈部旋转角度差＞30°

分级	就诊年龄	临床表现
1级	0~6个月	姿势性斜颈；或患侧胸锁乳突肌紧张、双侧颈部旋转角度差＜15°
2级	0~6个月	患侧胸锁乳突肌紧张、双侧颈部旋转角度差15°~30°
3级	0~6个月	患侧胸锁乳突肌紧张、双侧颈部旋转角度差＞30°；或胸锁乳突肌存在包块
4级	7~9个月	姿势性斜颈；或患侧胸锁乳突肌紧张、双侧颈部旋转角度差＜15°
5级	10~12个月	姿势性斜颈；或患侧胸锁乳突肌紧张、双侧颈部旋转角度差＜15°
6级	7~12个月	患侧胸锁乳突肌紧张、双侧颈部旋转角度差＞15°
7级	＞7个月	存在胸锁乳突肌包块；或年龄＞12个月、双侧颈部旋转角度差＞30°

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