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A cross-sectional study investigating the relationship between imbalance of neck muscle strength and plagiocephaly among the clinical characteristics affecting the delay in early gross motor development in infants with postural torticollis.

Not Applicable
Completed
Conditions
Congenital malformations, deformations and chromosomal abnormalities
Registration Number
KCT0008367
Lead Sponsor
The Catholic University of Korea, Incheon St. Mary's Hospital
Brief Summary

A variety of characteristics including age, neck muscle imbalance as well as plagiocephaly were associated with early gross motor development. These findings help clinicians to determine ways to support the parents who have infants with postural torticollis by providing patient education related to prognosis and motor development.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
118
Inclusion Criteria

Among the children with postural torticollis, 118 patients aged 4 to 6 months at the time of initial evaluation conducted in the pediatric physical therapy room were enrolled. The diagnostic criteria for postural torticollis were children with the head tilted to one side, no morphological changes in the cervical oblique muscles observed in plain radiographs and ultrasonography of the cervix, and no serious perinatal complications or suspected medical syndromes.

Exclusion Criteria

Patients whose age did not correspond to 4 to 6 months at the time of initial evaluation, postural torticollis due to other ophthalmic or neurological causes, gestational age less than 36 weeks, and birth weight less than 2000 g were excluded from the study.

Study & Design

Study Type
Observational Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.Relationship between clinical characteristics and GMFM (lying and rolling) in infants with postural torticollis 2. The interaction between plagiocephaly and affected neck muscle function in early gross motor development
Secondary Outcome Measures
NameTimeMethod
The analyzed clinical characteristics included early evaluation age, sex, direction of cervical lateral flexion and rotation, presence and severity of plagiocephaly, Muscle Function Scale (MFS) of affected neck muscle, gestational age and birth weight. For the achievement of early gross motor development, the percentage score data of 17 questions of the lying and rolling dimension in Gross Motor Function Measure (GMFM-88) were collected.
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