Differential diagnosis of torticollis: a case report

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
Gaelan Mahina Gray, Kay H Tasso

Abstract

This case report describes a method of differential diagnosis for torticollis in a 4-month-old male infant who also had hydrocephalus. The infant presented to physical therapy (PT) with a "classic torticollis posture." Differential diagnosis was completed to determine the cause of the signs and the appropriate intervention. PT consisted of positioning, strengthening, stretching, and neuromuscular facilitation techniques to assist the infant to develop gross motor skills and a midline head position. A home exercise program was incorporated into the family's routines. After 6 months of PT, the infant demonstrated considerable gains in cervical range of motion but continued to exhibit gross motor delay and difficulty in maintaining the head in midline. Intervention for infants with torticollis should address corrective positioning to facilitate symmetry during positioning and handling. Differential diagnosis is critical in establishing the appropriate plan of care.

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Citations

Oct 1, 2013·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Sandra L KaplanLinda Fetters
Jun 6, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Abdulfettah TumturkHuseyin Per
Oct 3, 2018·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Sandra L KaplanBarbara Sargent
Dec 2, 2014·BMC Neurology·Frédéric ZuhornWolf-Rüdiger Schäbitz
Sep 3, 2013·Physiotherapy Canada. Physiothérapie Canada·Brenna BathBonnie Janzen
Jan 9, 2015·The Journal of Craniofacial Surgery·Irene Cabrera-MartosÁngeles Ruíz-Extremera
Aug 17, 2021·Turkish Journal of Physical Medicine and Rehabilitation·Cevriye MülkoğluBaşak Mansız-Kaplan

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