What are the most effective treatments for congenital torticollis in infants?
Best insight from top research papers
Intensive inpatient therapeutic exercise combined with ultrasound diathermy and microcurrent, botulinum toxin type A (BoNT-A) injections, a combination of exercises, massage, hydrokinesiotherapy, and kinesiotaping, and surgical release of the sternocleidomastoid muscle followed by postoperative orthosis have been identified as effective treatments for congenital muscular torticollis in infants. Physical therapy was successful in 70.6% of cases, while 16.5% required BoNT-A injections and 12.9% needed surgical SCM lengthening. These findings suggest that a combination of conservative approaches like physical therapy and more invasive interventions like injections or surgery can effectively manage congenital torticollis in infants, with each method offering benefits based on the severity and response to initial treatments.
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| Papers (4) | Insight |
|---|---|
| Physical therapy (PT) is successful in 70.6% of cases, with botulinum toxin injections and surgical SCM lengthening being effective options for congenital muscular torticollis in infants. | |
| Surgical treatment with tripolar release of the sternocleidomastoid muscle and postoperative orthosis is effective for congenital muscular torticollis in infants, especially after failed conservative therapy. | |
| Intensive inpatient therapy involving therapeutic exercise and ultrasound diathermy with microcurrent shows efficacy in treating congenital muscular torticollis in infants involving the entire sternocleidomastoid muscle. | |
| Botulinum toxin type A (BoNT-A) injections show effectiveness in infants with refractory congenital muscular torticollis, providing successful outcomes in 61% of cases, with only 4 patients needing surgery. |
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