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Torticollis Physiotherapy treatment/Wry Neck Exercises/ Torticollis stretching exercises скачать в хорошем качестве

Torticollis Physiotherapy treatment/Wry Neck Exercises/ Torticollis stretching exercises 3 years ago

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Torticollis Physiotherapy treatment/Wry Neck Exercises/ Torticollis stretching exercises

Congenital torticollis (CMT) also known as twisted neck or wry neck is a postural, musculoskeletal deformity evident at, or shortly after, birth. It results from unilateral shortening and increased tone of the sternocleidomastoid (SCM) muscle and presents as lateral flexion of the head to the ipsilateral side with rotation to the contralateral side. The term torticollis is derived from the Latin word tortus, meaning ''twisted'' and collum meaning ''neck.'' The infant holds their head tilted to unaffected side and has difficulty in turning the head to the opposite side. It is the third most common congenital musculoskeletal condition in new-borns with an incidence ranging from 0.3 to 16%. Has been associated with dysfunction in the upper cervical spine and is sometimes referred to as kinetic imbalance due to subocciptal strain. Treatment approaches for CMT include manual therapy (including practitioner-led stretching exercises), repositioning therapy (including tummy time) and, in severe non-resolving cases, botulinum and surgery. CMT can lead to secondary changes such as cranial asymmetry (plagiocephaly), and also to functional problems, including breastfeeding problem. Both physical therapy and repositioning as first line treatment are recommended followed by helmet therapy as a second line of treatment for infants with moderate to severe and persisting asymmetry. Physical therapy is better than positioning pillows due to the risk of Sudden Infant Death Syndrome when sleeping on stomach. There are a large number of protocol studies in the literature demonstrating the effectiveness of physical therapy. Little data on the frequency and types of exercise exists In many studies, the initial frequency was 2 times per week in the 1st month, progressing to once per week Some authors refer 3 times a week initially. The duration of congenital torticollis physiotherapy treatment depends on the date on which rehabilitation began. The sooner it starts, the faster the normal cervical biomechanics become established, as well as achieving better.

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