标题:
Comparison of two dosages of stretching treatment in infants with congenital muscular torticollis: a randomized trial
讲者:
何璐
单位:
广州市妇女儿童医疗中心
播放:
1992
论文摘要:
Objective To compare the short term efficacy of two dosages of stretching treatment on the clinical outcomes in infants with congenital muscular torticollis.
Design A randomized controlled study; 50 infants with congenital muscular torticollis who were randomly assigned to 100 times stretching group and 50 times stretching group received stretching treatment for the affected sternocleidomastoid muscle. The outcomes including the posture of head tilt, cervical passive range of motion and muscle function of cervical lateral flexors determined by the muscle function scale were assessed at baseline, 4 and 8 weeks after treatment. The sternocleidomastoid muscle growth analyzed by the thickness ratio of sternocleidomastoid muscles was measured using ultrasonography at baseline and 8 weeks after treatment.
Results Except the ratio of muscle function scale scores, the post-intervention outcomes were all significantly improved in both groups compared with baseline (p<0.05). The 100 times stretching group showed greater rate of improvement compared with 50 times stretching group in head tilt, cervical passive range of motion at 4 and 8 weeks after treatment (p<0.05).
Conclusion Stretching treatment of two dosages may effectively improve the posture of head tilt, cervical passive range of motion, and thickness ratio of sternocleidomastoid muscles in infants with congenital muscular torticollis. Stretching treatment of 100 times per day is likely to produce the better clinical outcome.