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Pediatr Rehabil. 2006 Jan-Mar;9(1):40-6.

Torticollis and plagiocephaly in infancy: therapeutic strategies.

Author information

1
Bernhoven Hospital, Veghel, The Netherlands.

Abstract

BACKGROUND:

Asymmetry in infancy is a diagnosis with a large spectrum of features, expressing an abnormal shape of parts of the body or unequal postures and movements, which might be structural and/or functional, with localized or generalized expression.

PURPOSE:

The purpose of the present study is to highlight different therapeutic aspects of the most occurring asymmetries in infancy: congenital muscular torticollis, positional torticollis and plagiocephaly, based on best evidence in current literature.

RESULTS:

A flow chart is presented showing different pathways in therapeutic strategies, such as physical therapy, orthotic devices (helmet treatment and Dynamic Orthotic Cranioplasty) and surgery.

CONCLUSION:

It is concluded that there are different views towards management on torticollis and plagiocephaly. A systematic therapeutic management to evaluate these asymmetries is indicated. The presented therapeutic flow chart might serve as a basis in order to achieve uniformity in therapeutic thinking and performance.

PMID:
16352505
DOI:
10.1080/13638490500037904
[Indexed for MEDLINE]

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