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Physical Therapy Management of Congenital Muscular Torticollis: A 2024 Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association Academy of Pediatric Physical Therapy.
Pediatr Phys Ther
October 2024
Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California (Dr Sargent), Los Angeles, California; Orthotics and Prosthetics Department (Drs Coulter and Cannoy), Children's Healthcare of Atlanta, Atlanta, Georgia; Department of Rehabilitation and Movement Sciences, Rutgers (Dr Kaplan), The State University of New Jersey, Newark, New Jersey.
Congenital muscular torticollis (CMT) is a postural condition evident shortly after birth. The 2013 CMT Clinical Practice Guideline (2013 CMT CPG) set standards for the identification, referral, and physical therapy management of infants with CMT, and its implementation resulted in improved clinical outcomes. It was updated in 2018 to reflect current evidence and 7 resources were developed to support implementation.
View Article and Find Full Text PDFInforming the Physical Therapy Management of Congenital Muscular Torticollis Clinical Practice Guideline: A Systematic Review.
Pediatr Phys Ther
April 2023
Division of Pediatric Rehabilitation Medicine (Drs Castilla and Gonzalez), Children's Hospital Los Angeles, Los Angeles, California; Division of Biokinesiology and Physical Therapy (Drs Castilla, Gonzalez, and Sargent), Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California; Institute for Nursing and Interprofessional Research (Ms Kysh), Children's Hospital Los Angeles, Los Angeles, California.
Purpose: To systematically review current evidence on the physical therapy assessment, intervention, and prognosis of congenital muscular torticollis (CMT) to inform the update to the 2018 CMT Clinical Practice Guideline (CPG).
Methods: Six databases were searched for studies that informed assessment, intervention, and prognosis for physical therapy management of infants with CMT.
Results: Fifteen studies were included.
Pediatric Physical Therapists' Use of the Congenital Muscular Torticollis Clinical Practice Guidelines: A Qualitative Implementation Study.
Pediatr Phys Ther
October 2019
Department of Physical Therapy (Dr Nixon-Cave), Jefferson College of Rehabilitation Sciences, Jefferson (Philadelphia University + Thomas Jefferson University), Philadelphia, Pennsylvania; Department of Rehabilitation and Movement Science (Dr Kaplan), Rutgers, The State University of New Jersey, Newark, New Jersey; School of Human Service Professions and Institute for Physical Therapy Education (Dr Dole), Widener University, Chester, Pennsylvania; Chatham University (Dr Schreiber), Pittsburgh, Pennsylvania.
Purpose: This study is a follow-up to the quantitative survey to examine the perceptions of pediatric physical therapists (PTs) on the application of the 2013 Congenital Muscular Torticollis Clinical Practice Guideline (CMT CPG).
Method: Qualitative semi-structured telephone interviews were completed. Interview questions focused on how the guidelines influenced practice, facilitators and barriers to implementation, and knowledge translation activities.
Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy.
Pediatr Phys Ther
October 2018
Department of Rehabilitation and Movement Sciences (Dr Kaplan), Rutgers, The State University of New Jersey, Newark, New Jersey; Orthotics and Prosthetics Department (Dr Coulter), Children's Healthcare of Atlanta, Atlanta, Georgia; Division of Biokinesiology and Physical Therapy at the Herman Ostrow School of Dentistry (Dr Sargent), University of Southern California, Los Angeles, California.
Background: Congenital muscular torticollis (CMT) is a postural deformity evident shortly after birth, typically characterized by lateral flexion/side bending of the head to one side and cervical rotation/head turning to the opposite side due to unilateral shortening of the sternocleidomastoid muscle; it may be accompanied by other neurological or musculoskeletal conditions. Infants with CMT should be referred to physical therapists to treat these postural asymmetries as soon as they are identified.
Purpose: This update of the 2013 CMT clinical practice guideline (CPG) informs clinicians and families as to whom to monitor, treat, and/or refer and when and what to treat.
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