Caracterização clínica, radiológica e epidemiológica de crianças com sequelas de torcicolo muscular congênito
Palavras-chave:
torcicolo muscular congênito, sequelas orgânicas, tratamento de reabilitação precoce, distonia cervicalResumo
Introdução: as sequelas do torcicolo muscular congênito em crianças têm amplo espectro, algumas das quais, uma vez estabelecidas, podem exigir correções cirúrgicas complexas e onerosas.
Objetivo: caracterizar as sequelas do torcicolo muscular congênito segundo elementos clínicos, radiológicos e epidemiológicos em crianças atendidas em Santiago de Cuba no período 2017-2020.
Método: estudo prospectivo-analítico caso-controle em 112 crianças com essa doença, separadas em casos (24 crianças) e controles (88 crianças). O processamento dos dados envolveu análise de frequência, cálculo do Qui-quadrado, identificação dos fatores associados à variável dependente, cálculo do valor de p e Odds ratio.
Resultados: obteve-se predominância da população masculina nos casos (70,8%) e controles (68,2%), com associação estatística entre idade ≥ 6 meses no momento do diagnóstico e presença de complicações (OR: 2,4-20,4; p=0,00). Houve associação estatística entre macrossomia ao nascimento e presença de complicações em 25,0% dos casos e 11,4% dos controles (OR: 1,9-12,5; p=0,02). Houve associação estatística entre início tardio do tratamento de reabilitação e complicações (OR: 2,86-21,3; p=0,00).
Conclusões: observou-se predominância de complicações orgânicas ou comorbidades no sexo masculino, com aumento significativo de sequelas sendo mais provável nestes e quando o tratamento médico é iniciado após os 6 meses de idade. As complicações mais frequentes foram: assimetria facial, plagiocefalia e associação de duas ou mais sequelas.
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Referências
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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
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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2022-05-09
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Hernández-Dinza PA, Omar-Martinez E. Caracterização clínica, radiológica e epidemiológica de crianças com sequelas de torcicolo muscular congênito. Rev Inf Cient [Internet]. 9º de maio de 2022 [citado 3º de abril de 2025];101(3 Especial):e3809. Disponível em: https://revinfcientifica.sld.cu/index.php/ric/article/view/3809
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