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A randomized controlled study on the efficiency of soft tissue mobilization in babies with congenital muscular torticollis |
Keklicek H, Uygur F |
Journal of Back and Musculoskeletal Rehabilitation 2018;31(2):315-321 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKROUND: Soft tissue mobilization techniques (STM) are used in clinical practice in treatment of congenital muscular torticollis (CMT). However, little is known about its effectiveness. OBJECTIVES: To investigate whether using STM to manage CMT in babies with mild to moderate head tilt was effective or not. METHODS: Twenty-nine babies with CMT aged between 0 to 6 months, who had a head tilt from 5 to 20 degrees were allocated to two groups. Both groups received a baseline home program (positioning, handling strategies, stretching and strengthening exercises, environmental adaptations). The study group (SG) also received STM three times a week. Babies were evaluated initially, at six weeks, at 12 weeks and for follow-up at 18 weeks with muscle function scale, head tilt and range of motion for neck lateral flexion and rotation. RESULTS: Both groups showed significant improvements in all measured parameters (p < 0.05). In comparison of groups, there were differences at six weeks in favor of the SG for neck rotation (p < 0.001) and head tilt (p = 0.006); but at 12 weeks and follow up, there were no longer any differences between the groups in any of the measured parameters. CONCLUSIONS: STM techniques are effective in getting faster positive results in the treatment of CMT.
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