Pediatric PT
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| WHAT IS TORTICOLLIS? | Derived from Latin: Torta = twisted Collum = neck Also known as: Wry Neck Turtle Neck Twisted Neck
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| SIGNS and SYMPTOMS and DX Head tilt with rotation ___-not always Elevated shoulder girdle ___ in the belly of the muscle Limited ROM Difficulty visual ___ ___ of the face and/or skull Difficulty breast feeding | opposite Lump/mass in the belly of the muscle Difficulty visual tracking Asymmetry of the face and/or skull
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| OCCURRENCE One in ___ live births ___ as a coexisting impairment -80-90% Hip ___ -20% Scoliosis Club foot Metatarsus Adductus | 300 Plagiocephaly as a coexisting impairment Hip Dysplasia
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| TYPES Congenital Muscular Torticollis 1. Present at birth Acquired Torticollis 1. Traumatic 2. Spas___ | 2. Spasmodic
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| CONGENTIAL TORTICOLLIS ___ common form SCM-___ syndrome -Palpable mass -Trauma during birth -___ injury -Intrauterine ___ | Most common form SCM-compartment syndrome -Ischemic injury -Intrauterine positioning
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| CAUSES of CMT (Congenital Muscular Torticollis) ___ birth Large BW Sustained head ___ position Decreased ___ to SCM Cervical spine anomaly/malformation Forceps delivery | Breech birth Sustained head down position Decreased circulation to SCM Forceps delivery
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| PHYSICAL FEATURES ___cephaly ___ of ears ___ of the side of the neck under the ear Flattening of the mandible ___ tilting of the lower jaw and gum line Elevation of the TMJ Limited movement of the neck Asymmetries of the back, chest, hips and feet | Plagiocephaly Asymmetry of ears Depression of the side of the neck under the ear Upward tilting of the lower jaw and gum line
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| ACQUIRED TORTICOLLIS Acute trauma -Fracture, clavicle, scapula Non-traumatic(3): 1. Boney deformities- C1, C2 ___ -Inflammatory processes 2. Without boney deformities -___ lesion, neurological syndromes -Inflammation/infection 3. Painful Torticollis -Oste | 1. C1, C2 subluxation 2. -Ocular lesion, neurological syndromes 3. -Osteoid osteoma, osteoblastoma
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| ASSESSEMENT ROM -NECK, UE’s, LE’s, Trunk VISION SKIN DEVELOPMENTAL SKILLS RIGHTING AND EQUILIBRIUM ASYMMETRIES -___cephaly | Plagiocephaly
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| TREATMENT Regain passive and active ROM Skin integrity Facilitate WB, WS Righting and equilibrium reactions Visual tracking ___ degrees, up/down | Visual tracking 180 degrees, up/down
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| PERSISTENT TORTICOLLIS Rule out the following: 1. Retro-___ abscess 2. ___ tumors 3. Soft tissue mass with ___ tissue 4. Fracture 5. Cervical abnormality 6. Visual abnormality | 1. Retro-pharyngeal abscess 2. Orbital tumors 3. Soft tissue mass with fibrotic tissue
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Created by:
John L
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