Clinical, radiological, and epidemiological characterization of children with sequelae of congenital muscular torticollis
Keywords:
congenital muscular torticollis, organic sequelae, early rehabilitative treatment, cervical dystoniaAbstract
Introduction: sequelae of congenital muscular torticollis in children have a wide spectrum, some of which, set already, may require complex and costly surgical corrections.
Objective: to characterize the sequelae of congenital muscular torticollis according to clinical, radiological, and epidemiological elements in children attended in Santiago de Cuba from 2017 to 2020.
Method: prospective-analytical case-control study in 112 children with this disease, separated in cases (24 children) and controls (88 children). Data processing involved frequency analysis, calculation of chi-square, identification of factors associated with dependent variable, calculation of the p-value and OR.
Results: the male population predominated in cases (70.8%) and controls (68.2%), with a statistical association between age ≥ 6 months at diagnosis and the presence of complications (OR: 2.4-20.4; p=0.00). There was a statistical association between macrosomia at birth and the presence of complications in 25.0 % of cases and 11.4 % of controls (OR: 1.9-12.5; p=0.02). There was a statistical association between late initiation of rehabilitation treatment and complications (OR: 2.86-21.3; p=0.00).
Conclusions: a predominance of organic complications or comorbidities was observed in males, with a significant increase of sequelae in this group and also when medical treatment is started after 6 months of age. The most frequent complications were facial asymmetry, plagiocephaly and association of two or more sequelae.
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References
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18.Gun Sang L, Myung Ki L, Woo Jae K, Ho Sang K, Jeong Ho K, Yun Suk K. Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release: Report of 31 Cases. J Korean Neurosurg Soc [Internet]. 2017 [citado 24 Oct 2021]; 60(1): 82-8. DOI: https://doi.org/10.3340/jkns.2016.0303.018
19.Kaplan SL, Coulter C, Sargent B. Physical Therapy Management of Congenital Muscular Torticollis. Ped Phys Ther [Internet]. 2018 [citado 24 Oct 2021]; 30 (4):240-90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30277962/
20.Bhaskar A, Harish U, Desai H. Congenital muscular torticollis: Use of gaze angle and translational deformity in assessment of facial asymmetry. Indian J Orthop [Internet]. 2017 [citado 24 Oct 2021]; 51(2):123-130. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5361461/
21.Ching Fang H, Tieh Cheng F, Chung Yao Ch, Carl Pai Chu Ch, Yu Ju L, Chih Chin H. Longitudinal follow-up of muscle echotexture in infants with congenital muscular torticollis. Medicine [Internet]. 2017 [citado 24 Oct 2021]; 96(6):1-15. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313018
22.Sargent B, Kaplan SL, Coulter C, Baker C. Congenital Muscular Torticollis: Bridging the Gap Between Research and Clinical Practice. Pediatrics [Internet]. 2019 [citado 24 Oct 2021]; 144(2):1-8. Disponible en: http://pediatrics.aappublications.org/content/early/2019/07/24/peds.2019-0582
23.Boyko N, Ann Eppinger M, BA, Straka DeMarco, Anne Mazzola C. Imaging of congenital torticollis in infants: a retrospective study of an institutional protocol. J Neurosurg Ped [Internet]. 2017 [citado 24 Oct 2021]; 20(2):191-95. DOI: https://doi.org/10.3171/2017.3.PEDS16277
2. Chu Hsu L, Hung Chih H, Yu Jen H, Kai Hua Ch, Shang Hong L, Wen Ming Ch. Relationship between sonography of sternocleidomastoid muscle and cervical passive range of motion in infants with congenital muscular torticollis. Biomedical J [Internet]. 2018 [citado 21 Oct 2021]; 41(6):369-75. DOI: https://doi.org/10.1016/j.bj.2018.10.001
3. Park S, Kim SA, Hwan Song J, Kim H. Congenital Torticollis with Bilateral Sternocleidomastoid Muscle Contracture. Soonc Med Sci [Internet]. 2020 [citado 21 Oct 2021]; 26(2):95-97. Disponible en: https://jsms.sch.ac.kr/journal/view.php?number=564
4. Hernández Dinza PA, Díaz Terán D, Sánchez Mancebo K, Macías Leyva EA. Tortícolis muscular congénita asociada a asimetría facial y malformación de Chiari I. Rev Cubana Med Fís Reh [Internet]. 2019 [citado 21 Oct 2021]; 11(2):1-10. Disponible en: http://revrehabilitacion.sld.cu/index.php/reh/article/view/370
5. Xiao Y, Chi Z, Yuan F, Zhu D, Ouyang X, Xu W, et al. Effectiveness and safety of massage in the treatment of the congenital muscular torticollis. Medicine (Baltimore) [Internet]. 2020 [citado 21 Oct 2021]; 99(35):1-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458238/
6. Hurtado Padilla A, Canales Najera JA, Dabaghi Richerand A, Cabrera Ortíz PR. Surgical treatment of congenital torticollis, at the Shriners Hospital, México City. Rev Coluna/Columna [Internet]. 2017 [citado 21 Oct 2021]; 16(2):106-8. Disponible en: https://www.scielo.br/j/coluna/a/gk59dp7fBFvWncmPZVrVGCw/?lang=en
7. González Maza M, Rodríguez Reyes ME. Protocolo de rehabilitación en el paciente con tortícolis muscular congénita. Rev Cubana Med Fís Reh. 2013; 5(2):153-65.
8. Kuo A, Tritasavit S, Graham J. Congenital Muscular Torticollis and Positional Plagiocephaly. Ped in Review [Internet]. 2014 [citado 22 Oct 2021]; 35(2):79-87. Disponible en: http://pedsinreview.aappublications.org/content/suppl/2014/02/08/35.2.79.DC1.html
9. Seonghyeok S, Wonjeong H, Seungwon L. Factors related to the treatment duration of infants with congenital muscular torticollis. Phys Ther Rehabil Sci [Internet]. 2020 [citado 22 Oct 2021]; 9(3):191-96. DOI: https://doi.org/10.14474/ptrs.2020.9.3.191
10.Sue Min K, Bohwan Ch, Kwang Sik J, Non Hyeon H, Myong Chul P. Clinical factors in patients with congenital muscular torticollis treated with surgical resection. Arch Plast Surg [Internet]. 2019 [citado 22 Oct 2021]; 46(5):414-20. Disponible en: https://www.e-aps.org/journal/view.php?number=3666
11.Cueto Blanco S, Pipa Vallejo A, González García M, Pipa Muñiz M, Pipa Muñiz C. Asimetrías faciales y maloclusiones en pacientes con tortícolis muscular congénita: una revisión sistemática. Av Period [Internet]. 2015 [citado 22 Oct 2021]; 27(1):11-18. DOI en: http://dx.doi.org/10.4321/S1699-65852015000100002
12.Strenk ML, Kiger M, Hawke JL, Mischnick A, Quatman Yates C. Implementation of a Quality Improvement Initiative: Improved Congenital Muscular Torticollis Outcomes in a Large Hospital Setting. Phys Ther [Internet]. 2015 [citado 22 Oct 2021]; 97(6):649-58. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28371924/
13.Nguyen Ngoc H, Le Tuan A. A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis. Open Access Library J [Internet]. 2017 [citado 22 Oct 2021]; 4: 1-12. DOI: https://doi.org/10.4236/oalib.1104105
14.KyeongSoo L, EunJung Ch, Byoung Hee L. A study on asymmetry in infants with congenital muscular torticollis according to head rotation. J Phys Ther Sci [Internet]. 2017 [citado 24 Oct 2021]; 29(1):48-52. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300803/
15.Quispe Condori CO. Tortícolis muscular congénito y disociación clínicoecográfico en el recién nacido: reporte de un caso. Rev Peru Inv Matern Perinat 2016; 5(2):72-5.
16.Pinargote Celorio L, Arciniegas Benitez O, Barzallo Núñez J, Jaramillo Becerra C. Tortícolis muscular congénita en adultos jóvenes: Tenotomía bipolar del esternocleidomastoideo. Rev Ecu Ortop Traumatol [Internet]. 2020 [citado 24 Oct 2021]; 9(3):21-6. Disponible en: http://revistacientificaseot.com/index.php/revseot/article/view/121
17.Hardgrib N, Rahbek O, Møller Madsen B, Maimburg RD. Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis. J Orthop Traumatol [Internet]. 2017 [citado 24 Oct 2021]; 18(4):359-64. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28664414/
18.Gun Sang L, Myung Ki L, Woo Jae K, Ho Sang K, Jeong Ho K, Yun Suk K. Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release: Report of 31 Cases. J Korean Neurosurg Soc [Internet]. 2017 [citado 24 Oct 2021]; 60(1): 82-8. DOI: https://doi.org/10.3340/jkns.2016.0303.018
19.Kaplan SL, Coulter C, Sargent B. Physical Therapy Management of Congenital Muscular Torticollis. Ped Phys Ther [Internet]. 2018 [citado 24 Oct 2021]; 30 (4):240-90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30277962/
20.Bhaskar A, Harish U, Desai H. Congenital muscular torticollis: Use of gaze angle and translational deformity in assessment of facial asymmetry. Indian J Orthop [Internet]. 2017 [citado 24 Oct 2021]; 51(2):123-130. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5361461/
21.Ching Fang H, Tieh Cheng F, Chung Yao Ch, Carl Pai Chu Ch, Yu Ju L, Chih Chin H. Longitudinal follow-up of muscle echotexture in infants with congenital muscular torticollis. Medicine [Internet]. 2017 [citado 24 Oct 2021]; 96(6):1-15. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313018
22.Sargent B, Kaplan SL, Coulter C, Baker C. Congenital Muscular Torticollis: Bridging the Gap Between Research and Clinical Practice. Pediatrics [Internet]. 2019 [citado 24 Oct 2021]; 144(2):1-8. Disponible en: http://pediatrics.aappublications.org/content/early/2019/07/24/peds.2019-0582
23.Boyko N, Ann Eppinger M, BA, Straka DeMarco, Anne Mazzola C. Imaging of congenital torticollis in infants: a retrospective study of an institutional protocol. J Neurosurg Ped [Internet]. 2017 [citado 24 Oct 2021]; 20(2):191-95. DOI: https://doi.org/10.3171/2017.3.PEDS16277
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Published
2022-05-09
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1.
Hernández-Dinza PA, Omar-Martinez E. Clinical, radiological, and epidemiological characterization of children with sequelae of congenital muscular torticollis. Rev Inf Cient [Internet]. 2022 May 9 [cited 2025 Apr. 3];101(3 Especial):e3809. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/3809
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