Questions and Answers
What should be avoided if the vertebral artery test is positive during treatment for torticollis?
In the case of acute acquired torticollis, what technique should not be performed?
What is recommended when treating congenital torticollis in infants?
What should be avoided when treating spasmodic torticollis?
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Which area should not be worked over during treatment for torticollis?
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What is the preferred position for a client with acute acquired torticollis during treatment?
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Which breathing technique is important in the treatment of acute acquired torticollis?
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What is the main purpose of using local cold applications during the treatment of acute acquired torticollis?
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What type of hydrotherapy application is used with trigger points in acute acquired torticollis?
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Which body position is generally NOT tolerated by clients suffering from acute acquired torticollis?
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Study Notes
Torticollis Overview
- Torticollis is characterized by a twisted neck position and may be acute or congenital.
- Treatment approaches will vary based on the type and severity of torticollis.
Contraindications for Treatment
- Avoid full stretches of the sternocleidomastoid muscle if:
- The vertebral artery test is positive.
- The client experiences dizziness during the stretch.
- Do not work over the carotid triangle pulse, located anterior to the sternocleidomastoid muscle and inferior to the angle of the mandible.
Specific Guidelines for Acute Acquired Torticollis
- Passive stretching of the spasmodic muscles is contraindicated to prevent exacerbation of symptoms.
Considerations for Congenital Torticollis in Infants
- Use reduced pressure when addressing muscle contractures to ensure safety and comfort.
Treatment Cautions for Spasmodic Torticollis
- Painful techniques, joint play, and local direct massage are contraindicated.
- Avoiding these methods is essential to prevent worsening of muscle spasms.
Client Positioning
- Supine positioning is standard during treatment for acute acquired torticollis.
- Side lying on the unaffected side is an option based on client's comfort level, with supporting pillows under the head.
- Prone position is generally not tolerated by patients.
Breathing Techniques
- Diaphragmatic breathing plays a crucial role in treatment.
- Helps reduce sympathetic nervous system activity and muscle spasms.
Hydrotherapy Applications
- Hydrotherapy protocols vary based on the type of muscle spasm or shortening identified.
- Local cold applications, such as ice packs, provide analgesic effects by numbing the area.
- Heat therapy is beneficial when addressing trigger points, as it promotes local circulation and aids in flushing out metabolites.
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Description
This quiz provides an overview of torticollis, its characteristics, and various treatment approaches based on its type and severity. The contraindications for treatment are also discussed, emphasizing caution during specific muscle stretches. Test your knowledge on managing this condition effectively.
