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Acta Paediatr. 2011 May;100(5):687-90. doi: 10.1111/j.1651-2227.2011.02145.x. Epub 2011 Feb 14.

Manual therapy in infantile torticollis: a randomized, controlled pilot study.

Author information

1
Department of Physiotherapy, Akershus University Hospital, Lørenskog, Norway. elsebeth.haugen@ahus.no

Abstract

AIM:

Torticollis in infancy is routinely treated by child physiotherapists. The addition of manual therapy to the treatment is a new approach in Norway. As the effect of manual therapy for this condition is poorly documented, we designed a pilot study to evaluate measurement methods and examine the short-time effect of manual therapy in addition to child physiotherapy.

METHODS:

Randomized controlled trial, double blinded. Thirty-two patients aged 3-6 months were randomized to intervention group (manual therapy and child physiotherapy) and control group (child physiotherapy alone).

PRIMARY OUTCOME:

Change of symptoms because of torticollis evaluated by video recordings.

SECONDARY OUTCOMES:

12 parameters including spontaneous movements, active and passive range of motion and head righting reaction.

RESULTS:

We found a nonsignificant tendency to greater improvement in lateral flexion (p = 0.092) and head righting reaction (p = 0.116) in the intervention group.

CONCLUSION:

In this pilot study, we found that in patients with moderate symptoms related to torticollis, the short-time effect of manual therapy in addition to physiotherapy is not significantly better than physiotherapy alone.

[Indexed for MEDLINE]

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