Unresolved Congenital Torticollis and Its Consequences: A Report of 2 Cases
SOURCE: J Chiropr Med. 2017 (Sep); 16 (3): 257-261
Mette Hobaek Siegenthaler, DC, MSc
Swiss Academy for Chiropractic,
OBJECTIVE: The purpose of this report was to describe the clinical presentation and case management of 2 children with congenital torticollis.
CLINICAL FEATURES: Two male children (ages 6 and 10 years) presented to a chiropractic clinic with a history of congenital torticollis. They showed signs and symptoms of postural deficiency and developmental delay: posterior plagiocephaly, facial scoliosis, head tilt, compensatory thoracic scoliosis, decreased range of motion in the cervical spine, palpable decreased segmental motion of the upper cervical spine, and an age-related delay in throwing and catching a ball and in one-leg standing.
INTERVENTION AND OUTCOME: Both children received chiropractic care (spinal manipulative therapy) and physical therapy (therapeutic exercises, including neck, back, and coordination exercises). Each patient responded favorably with improvement in both structural (posture) and functional (range of motion of the spine and coordination) deficits.