Treatment of recalcitrant idiopathic muscular torticollis in infants with botulinum toxin type a.

ResearchSpace Repository

Show simple item record Locke, Michelle en de Chalain, Tristan MB en 2018-10-23T01:42:08Z en 2005-03 en
dc.identifier.citation J Craniofac Surg, 2005, 16 (2), pp. 321 - 327 en
dc.identifier.issn 1049-2275 en
dc.identifier.uri en
dc.description.abstract Congenital muscular torticollis (CMT) is the most common form of torticollis in children, significantly outnumbering orthopedic, neurologic, and ocular causes. CMT may present as a palpable sternomastoid tumor (SMT) or a simple tightness of the sternocleidomastoid muscle (SCM), designated as idiopathic muscular torticollis (IMT). Muscular torticollis has been associated with positional plagiocephaly in neonates who slept in the supine position. We have had difficulty in treating some of these combined cases by traditional methods such as physiotherapy, stretching exercises, and molding helmets. In November 2000, we began injecting botulinum toxin type A in cases in which there was persistent IMT, despite significant physical therapy input. The 15 patients included in this retrospective study all presented with IMT and positional plagiocephaly; all had responded poorly to conservative treatment, including physiotherapy, stretching exercises, or use of a helmet. In the attempt to avoid progression to surgical release, these patients were treated with botulinum toxin injected into the affected SCM and subsequent additional physiotherapy. All appeared to respond well, and a retrospective analysis of this treatment strategy was undertaken. Information gathered included a questionnaire, skull-shape tracings, and photographs. Independent outcome assessment data were then obtained from the regional child development teams and community physiotherapists. These results show that 14 of 15 children with recalcitrant IMT and positional plagiocephaly treated with botulinum toxin obtained sufficient improvement in neck range of motion and head position as to make surgical release of the muscle unnecessary. Our conclusion is that the use of botulinum toxin is a safe and effective adjunct to physical therapy in treating recalcitrant IMT; in selected cases, it may obviate the need for surgical release of a tight but nonfibrotic SCM. en
dc.format.medium Print en
dc.language eng en
dc.relation.ispartofseries The Journal of craniofacial surgery en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.subject Neck Muscles en
dc.subject Humans en
dc.subject Plagiocephaly, Nonsynostotic en
dc.subject Torticollis en
dc.subject Neuromuscular Agents en
dc.subject Treatment Outcome en
dc.subject Retrospective Studies en
dc.subject Follow-Up Studies en
dc.subject Personal Satisfaction en
dc.subject Parents en
dc.subject Head Movements en
dc.subject Rotation en
dc.subject Infant en
dc.subject Female en
dc.subject Male en
dc.subject Physical Therapy Modalities en
dc.subject Botulinum Toxins, Type A en
dc.title Treatment of recalcitrant idiopathic muscular torticollis in infants with botulinum toxin type a. en
dc.type Journal Article en
dc.identifier.doi 10.1097/00001665-200503000-00023 en
pubs.issue 2 en
pubs.begin-page 321 en
pubs.volume 16 en
dc.identifier.pmid 15750434 en
pubs.end-page 327 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Journal Article en
pubs.elements-id 425552 en Medical and Health Sciences en School of Medicine en Surgery Department en
dc.identifier.eissn 1536-3732 en
pubs.record-created-at-source-date 2005-03-08 en
pubs.dimensions-id 15750434 en

Files in this item

There are no files associated with this item.

Find Full text

This item appears in the following Collection(s)

Show simple item record


Search ResearchSpace

Advanced Search