Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis
Abstract Purpose To investigate the factors influencing and long-term effects of manual myotomy (MM) occurring during physiotherapy for congenital muscular torticollis (CMT). Methods We retrospectively collected the clinical data of children with CMT receiving physiotherapy between 2008 and 2018. Th...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05788-7 |
| _version_ | 1828222485061959680 |
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| author | Zhenhui Zhao Hansheng Deng Xin Qiu Gen Tang Huijia Zheng Fang Yang Futang Gao Zhengyu Wu Yuanheng Li Shuaidan Zeng Jiaxin Zhao Yiyuan Sun Ziheng Zhou Yu Tang Zhiwen Cui Weiqing Li Xiaodi Chen Ting Cai Xian Liu Shicheng Li Qisong Yang Shengping Tang Zhu Xiong |
| author_facet | Zhenhui Zhao Hansheng Deng Xin Qiu Gen Tang Huijia Zheng Fang Yang Futang Gao Zhengyu Wu Yuanheng Li Shuaidan Zeng Jiaxin Zhao Yiyuan Sun Ziheng Zhou Yu Tang Zhiwen Cui Weiqing Li Xiaodi Chen Ting Cai Xian Liu Shicheng Li Qisong Yang Shengping Tang Zhu Xiong |
| author_sort | Zhenhui Zhao |
| collection | DOAJ |
| description | Abstract Purpose To investigate the factors influencing and long-term effects of manual myotomy (MM) occurring during physiotherapy for congenital muscular torticollis (CMT). Methods We retrospectively collected the clinical data of children with CMT receiving physiotherapy between 2008 and 2018. The children were divided into manual myotomy (MM) and non-manual myotomy (NMM) groups according to whether MM occurred during treatment. We assessed physiotherapy outcomes in children with CMT using craniofacial asymmetry parameters and the Cheng–Tang rating score. By measuring the ear-eye distance, ear-nose distance, eye-mouth distance, ear-mouth distance, half-head circumference, and half-head top at two sides to evaluate craniofacial asymmetry. Based on the Cheng–Tang assessment criteria, we recorded the range of rotation, range of lateral flexion, the status of the contracted muscle, the hardness of the mass, the extent of head tilting during activities and sleeping, the status of daily activities, face size, type of head shape, cranial changes, and subjective head tilting to assess the effectiveness of treatment. Clinical data and outcome indicators (craniofacial asymmetry parameters and Cheng–Tang rating score) were compared. Results The MM group had a significantly higher total Cheng–Tang rating score than the NMM group (P < 0.05). Age at initial physiotherapy session was the risk factor for MM during physiotherapy. Conclusion Children with CMT developing MM during physiotherapy generally have a good outcome, although we do not recommend MM as a goal of treatment. Physiotherapists should understand this phenomenon, assess relevant factors to predict risk, and carefully observe treatment to prevent possible complications. |
| first_indexed | 2024-04-12T16:55:23Z |
| format | Article |
| id | doaj.art-22473420784649ba954cb33a95f5dba0 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T16:55:23Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-22473420784649ba954cb33a95f5dba02022-12-22T03:24:15ZengBMCBMC Musculoskeletal Disorders1471-24742022-10-0123111410.1186/s12891-022-05788-7Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollisZhenhui Zhao0Hansheng Deng1Xin Qiu2Gen Tang3Huijia Zheng4Fang Yang5Futang Gao6Zhengyu Wu7Yuanheng Li8Shuaidan Zeng9Jiaxin Zhao10Yiyuan Sun11Ziheng Zhou12Yu Tang13Zhiwen Cui14Weiqing Li15Xiaodi Chen16Ting Cai17Xian Liu18Shicheng Li19Qisong Yang20Shengping Tang21Zhu Xiong22Shenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityChengdu 363 Hospital of Southwest Medical UniversityMaternity and Children Health Care Hospital of Luohu DistrictShenzhen Baoan Women’s and Children’s HospitalHefei Cancer Hospital, Chinese Academy of ScienceShenzhen Institutes of Advanced Technology, Chinese Academy of SciencesShenzhen Children’s Hospital of China Medical UniversityGuangxi Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityShenzhen Children’s Hospital of China Medical UniversityChengdu 363 Hospital of Southwest Medical UniversityShenzhen Children’s Hospital of China Medical UniversityDepartment of Pediatric Orthopedics, Shenzhen Children’s HospitalAbstract Purpose To investigate the factors influencing and long-term effects of manual myotomy (MM) occurring during physiotherapy for congenital muscular torticollis (CMT). Methods We retrospectively collected the clinical data of children with CMT receiving physiotherapy between 2008 and 2018. The children were divided into manual myotomy (MM) and non-manual myotomy (NMM) groups according to whether MM occurred during treatment. We assessed physiotherapy outcomes in children with CMT using craniofacial asymmetry parameters and the Cheng–Tang rating score. By measuring the ear-eye distance, ear-nose distance, eye-mouth distance, ear-mouth distance, half-head circumference, and half-head top at two sides to evaluate craniofacial asymmetry. Based on the Cheng–Tang assessment criteria, we recorded the range of rotation, range of lateral flexion, the status of the contracted muscle, the hardness of the mass, the extent of head tilting during activities and sleeping, the status of daily activities, face size, type of head shape, cranial changes, and subjective head tilting to assess the effectiveness of treatment. Clinical data and outcome indicators (craniofacial asymmetry parameters and Cheng–Tang rating score) were compared. Results The MM group had a significantly higher total Cheng–Tang rating score than the NMM group (P < 0.05). Age at initial physiotherapy session was the risk factor for MM during physiotherapy. Conclusion Children with CMT developing MM during physiotherapy generally have a good outcome, although we do not recommend MM as a goal of treatment. Physiotherapists should understand this phenomenon, assess relevant factors to predict risk, and carefully observe treatment to prevent possible complications.https://doi.org/10.1186/s12891-022-05788-7Manual myotomyCongenital muscular torticollisPhysiotherapyInfantSternocleidomastoid muscle |
| spellingShingle | Zhenhui Zhao Hansheng Deng Xin Qiu Gen Tang Huijia Zheng Fang Yang Futang Gao Zhengyu Wu Yuanheng Li Shuaidan Zeng Jiaxin Zhao Yiyuan Sun Ziheng Zhou Yu Tang Zhiwen Cui Weiqing Li Xiaodi Chen Ting Cai Xian Liu Shicheng Li Qisong Yang Shengping Tang Zhu Xiong Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis BMC Musculoskeletal Disorders Manual myotomy Congenital muscular torticollis Physiotherapy Infant Sternocleidomastoid muscle |
| title | Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis |
| title_full | Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis |
| title_fullStr | Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis |
| title_full_unstemmed | Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis |
| title_short | Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis |
| title_sort | factors influencing and long term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis |
| topic | Manual myotomy Congenital muscular torticollis Physiotherapy Infant Sternocleidomastoid muscle |
| url | https://doi.org/10.1186/s12891-022-05788-7 |
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