BACKGROUND: Asymmetry in infancy is a diagnosis with a large spectrum of features, expressing an abnormal shape of parts of the body or unequal postures and movements, which might be structural and/or functional, with localized or generalized expression. PURPOSE: The purpose of the present study is to highlight different therapeutic aspects of the most occurring asymmetries in infancy: congenital muscular torticollis, positional torticollis and plagiocephaly, based on best evidence in current literature. RESULTS: A flow chart is presented showing different pathways in therapeutic strategies, such as physical therapy, orthotic devices (helmet treatment and Dynamic Orthotic Cranioplasty) and surgery. CONCLUSION: It is concluded that there are different views towards management on torticollis and plagiocephaly. A systematic therapeutic management to evaluate these asymmetries is indicated. The presented therapeutic flow chart might serve as a basis in order to achieve uniformity in therapeutic thinking and performance.
BACKGROUND: Asymmetry in infancy is a diagnosis with a large spectrum of features, expressing an abnormal shape of parts of the body or unequal postures and movements, which might be structural and/or functional, with localized or generalized expression. PURPOSE: The purpose of the present study is to highlight different therapeutic aspects of the most occurring asymmetries in infancy: congenital muscular torticollis, positional torticollis and plagiocephaly, based on best evidence in current literature. RESULTS: A flow chart is presented showing different pathways in therapeutic strategies, such as physical therapy, orthotic devices (helmet treatment and Dynamic Orthotic Cranioplasty) and surgery. CONCLUSION: It is concluded that there are different views towards management on torticollis and plagiocephaly. A systematic therapeutic management to evaluate these asymmetries is indicated. The presented therapeutic flow chart might serve as a basis in order to achieve uniformity in therapeutic thinking and performance.
Authors: Leo A van Vlimmeren; Raoul Hh Engelbert; Maaike Pelsma; Hans Mm Groenewoud; Magda M Boere-Boonekamp; Maria Wg Nijhuis-van der Sanden Journal: Eur J Pediatr Date: 2016-11-04 Impact factor: 3.183
Authors: Eun-Hee Kim; Ki Eun Kim; Jihyun Jeon; Youn Ho Sheen; Hyun-Seung Lee; So Young Yoon; Nam Hyo Kim; Kyoung Min Choi Journal: Front Pediatr Date: 2020-11-11 Impact factor: 3.418
Authors: Jean Anne Zollars; Patricia A Burtner; Gail Stockman; Prisca Werbelow; Jessie Swartzentruber; Jean R Lowe Journal: J Phys Ther Sci Date: 2020-01-22