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Questions and Answers
What is the most common symptom of Congenital Muscular Torticollis?
What is the most common symptom of Congenital Muscular Torticollis?
Which of the following is a physical examination finding of Congenital Muscular Torticollis?
Which of the following is a physical examination finding of Congenital Muscular Torticollis?
What is an associated feature of Congenital Muscular Torticollis?
What is an associated feature of Congenital Muscular Torticollis?
What is a possible effect of Congenital Muscular Torticollis in infants?
What is a possible effect of Congenital Muscular Torticollis in infants?
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When do symptoms of Congenital Muscular Torticollis typically appear?
When do symptoms of Congenital Muscular Torticollis typically appear?
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How do the symptoms of Congenital Muscular Torticollis vary?
How do the symptoms of Congenital Muscular Torticollis vary?
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What is one of the primary goals of a physical therapist when assessing a child with Down syndrome?
What is one of the primary goals of a physical therapist when assessing a child with Down syndrome?
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What is a potential issue that children with Down syndrome may face due to their movement habits?
What is a potential issue that children with Down syndrome may face due to their movement habits?
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What may be included in a treatment program designed by a physical therapist for a child with Down syndrome?
What may be included in a treatment program designed by a physical therapist for a child with Down syndrome?
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What is one way that a physical therapist may help a child with Down syndrome master developmental skills?
What is one way that a physical therapist may help a child with Down syndrome master developmental skills?
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What is a benefit of massage for infants with Down syndrome?
What is a benefit of massage for infants with Down syndrome?
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What may be assessed by a physical therapist during a physical exam for a child with Down syndrome?
What may be assessed by a physical therapist during a physical exam for a child with Down syndrome?
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What is one way that a physical therapist may help a child with Down syndrome improve their walking skills?
What is one way that a physical therapist may help a child with Down syndrome improve their walking skills?
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What is one way that a physical therapist may help a child with Down syndrome improve their independence?
What is one way that a physical therapist may help a child with Down syndrome improve their independence?
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What is the primary goal of physical therapy for children with Down syndrome?
What is the primary goal of physical therapy for children with Down syndrome?
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Why is it important to focus on emerging skills in children with Down syndrome?
Why is it important to focus on emerging skills in children with Down syndrome?
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What is the purpose of suggesting changes at home to encourage movement development?
What is the purpose of suggesting changes at home to encourage movement development?
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How can physical activity reduce the risk of obesity in children with Down syndrome?
How can physical activity reduce the risk of obesity in children with Down syndrome?
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What is the benefit of using short ankle braces, called SMOs, for children with Down syndrome?
What is the benefit of using short ankle braces, called SMOs, for children with Down syndrome?
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Why is it important for families with children with Down syndrome to develop active routines?
Why is it important for families with children with Down syndrome to develop active routines?
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What is the role of physical therapists in promoting physical development in children with Down syndrome?
What is the role of physical therapists in promoting physical development in children with Down syndrome?
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Why is it important to connect children with Down syndrome with sports and recreational groups?
Why is it important to connect children with Down syndrome with sports and recreational groups?
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Study Notes
Symptoms of Congenital Muscular Torticollis
Clinical Presentation
- The most common symptom is a visible head tilt, with the ear approaching the shoulder on the affected side
- Chin deviation, where the chin points towards the opposite side of the affected muscle
Physical Examination Findings
- Limited range of motion in the neck, particularly lateral rotation and flexion
- Palpable mass or tightness in the sternocleidomastoid muscle
- Asymmetry of the neck and shoulder region
Associated Features
- Plagiocephaly (flattening of the head on one side)
- Facial asymmetry
- Limited ability to rotate the head or move the chin to the opposite side
- Possible delayed milestones in infants, such as sitting or walking
Variability in Symptoms
- Symptoms can vary in severity, with some cases being mild and others being more severe
- Symptoms may be present at birth or develop within the first few weeks of life
- In some cases, symptoms may not be apparent until several months after birth
Symptoms of Congenital Muscular Torticollis
Clinical Presentation
- Visible head tilt, with the ear approaching the shoulder on the affected side
- Chin deviation, where the chin points towards the opposite side of the affected muscle
Physical Examination Findings
- Limited range of motion in the neck, particularly lateral rotation and flexion
- Palpable mass or tightness in the sternocleidomastoid muscle
- Asymmetry of the neck and shoulder region
Associated Features
- Plagiocephaly (flattening of the head on one side)
- Facial asymmetry
- Limited ability to rotate the head or move the chin to the opposite side
- Delayed milestones in infants, such as sitting or walking
Variability in Symptoms
- Symptoms vary in severity, ranging from mild to severe
- Symptoms may be present at birth or develop within the first few weeks of life
- In some cases, symptoms may not be apparent until several months after birth
Physical Exam
- Measuring height and weight
- Observing movement patterns
- Assessing:
- Muscle strength and tone
- Movement
- Flexibility
- Joint stability
- Posture
- Balance and coordination
- Evaluating heart health and fitness
Motor Skills Assessment
- Assessing ability to:
- Sit
- Crawl
- Kneel
- Pull up from sitting to standing
- Walk
- Assessing advanced skills:
- Running
- Jumping
- Kicking a ball
- Throwing a ball
- Identifying creative movement habits that cause stress to bones and joints
Treatment Program Development
- Designing a specific treatment program for each child
- Improving:
- Strength
- Developmental skills
- Balance and coordination
- Postural control
- Using exercises, games, and daily routines to promote independence
- Providing hands-on training for caregivers on:
- Positioning
- Movement
- Feeding
- Play
- Suggesting changes at home to encourage:
- Movement development
- Communication
- Listening
- Use of vision
- Play skills
Improving Developmental Skills
- Mastering skills:
- Crawling
- Pulling up from sitting to standing
- Walking
- Using massage to improve:
- Muscle tone
- Motor coordination
- Vision
- Walking on a treadmill to promote earlier independent walking
Promoting Physical Development
- Identifying emerging skills
- Celebrating mini-milestones and successes
- Providing guidance on what skills to expect next
- Encouraging families to promote and support physical development
Improving Balance, Coordination, and Postural Control
- Using short ankle braces (SMOs) to aid balance, stability, and motor function
- Developing skills such as:
- Jumping
- Skipping
- Dribbling a ball
- Improving balance and walking skills, and decreasing pain
Improving Physical Fitness
- Suggesting physical activities to keep children active
- Reducing the risk of obesity and promoting heart health
- Finding enjoyable hobbies and activities
- Connecting families with sports and recreational groups for social health and physical development
- Providing mobility aids such as motorized vehicles or adaptive bicycles
- Developing active family routines that limit sitting
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Description
Identify the signs and symptoms of Congenital Muscular Torticollis, a condition that affects the neck muscles. Learn about the visible head tilt, chin deviation, and physical examination findings.