본문 바로가기
KERD
논문KCI 등재

선천성 근성 사경 환아에서 수기신장과 자세와 발달을 이용한 치료의 효과에 대한 무작위 연구

The Effect of Manual Stretching and Positioning and Developmental Treatment in Congenital Muscular Torticollis: Randomized Controlled Trials

2

조회

0

다운로드

4

인용

0

참고문헌

주제분류물리치료학

초록

The purpose of this study is to compare the outcomes of manual stretching treatment with those of motor development and positioning physical therapy (MDPPT) for congenital muscular torticollis (CMT). This study was designed to be randomized controlled trials and to evaluate the outcomes of 43 consecutive patients with CMT, who were first seen when they were average 26 days old. Before treatments, the patients were unintentionally classified into two clinical groups along with the treatment methods. Among the 43 patients, 22 were classified to the manual stretching group and 21 to the MDPPT group. By means of independent t-test on the result, the duration of treatment according to methods was not significantly different in two groups (p>.05). The duration of treatment in accordance with head tilt level was not significantly different in two groups (p>.05). There was change of mass diameter, between at the beginning day of treatment and after treatment in manual stretching group with a strong positive linear correlation (p=.000, r=.734), but slightly positive linear correlation in MDPPT group. The result of this study indicates that two therapeutic methods make little difference in effectiveness.

Abstract

The purpose of this study is to compare the outcomes of manual stretching treatment with those of motor development and positioning physical therapy (MDPPT) for congenital muscular torticollis (CMT). This study was designed to be randomized controlled trials and to evaluate the outcomes of 43 consecutive patients with CMT, who were first seen when they were average 26 days old. Before treatments, the patients were unintentionally classified into two clinical groups along with the treatment methods. Among the 43 patients, 22 were classified to the manual stretching group and 21 to the MDPPT group. By means of independent t-test on the result, the duration of treatment according to methods was not significantly different in two groups (p>.05). The duration of treatment in accordance with head tilt level was not significantly different in two groups (p>.05). There was change of mass diameter, between at the beginning day of treatment and after treatment in manual stretching group with a strong positive linear correlation (p=.000, r=.734), but slightly positive linear correlation in MDPPT group. The result of this study indicates that two therapeutic methods make little difference in effectiveness.

참고문헌 (26)

  1. Binder H, "Congenital muscular torticollis: Results of conservative management with long-term follow-up in 85 cases", Arch Phys Med Rehabil, 68(4), pp.222~225 (1987)
  2. Canale ST, "Congenital muscular torticollis. A long-term follow-up", J Bone Joint Surg Am, 64(6), pp.810~816 (1982)
  3. Celayir AC, "Congenital muscular torticollis: Early and intensive treatment is critical. A prospective study", Pediatr Int, 42(5), pp.504~507 (2000)
  4. Cheng JC, "Infantile torticollis: A review of 624 cases", J Pediatr Orthop, 14(6), pp.802~808 (1994)
  5. Cheng JC, "Correlation of ultrasonographic imaging of congenital muscular torticollis with clinical assessment in infants", Ultrasound Med Biol, 26(8), pp.1237~1241 (2000)
  6. Cheng JC, "Sternocleidomastoid pseudotumor and congenital muscular torticollis in infants: A prospective study of 510 cases", J Pediatr, 134(6), pp.712~716 (1999)
  7. Cheng JC, "The clinical presentation and outcome of treatment of congenital muscular torticollis in infants - A study of 1,086 cases", J Pediatr Surg, 35(7), pp.1091~1096 (2000)
  8. Cheng JC, "Clinical determinants of the outcome manual of stretching in the treatment of congenital muscular torticollis in infants. A prospective study of eight hundred and twenty-one cases", J Bone Joint Surg Am, 83-A(5), pp.679~687 (2001)
  9. Collins A, "Botulinum toxin injection for congenital muscular torticollis presenting in children and adults", Neurology, 67(6), pp.1083~1085 (2006)
  10. Coventry MB, "Congental muscular torticollis in infancy: Some observation regarding treatment", J Bone Joint Surg Am, 41-A(5), pp.815~822 (1959)
  11. Demirbilek S, "Congenital muscular torticollis and sternomastoid tumor: Results of nonoperative treatment", J Pediatr Surg, 34(4), pp.549~551 (1999)
  12. Dudkiewicz I, "Congenital muscular torticollis infants: Ultrasound-assisted diagnosis and evaluation", J Pediatr Orthop, 25(6), pp.812~814 (2005)
  13. Emery C, "The determinants of treatment duration for congenital muscular torticollis", Phys Ther, 74(10), pp.921~929 (1994)
  14. Ferkel RD, "Muscular torticollis. A modified surgical approach", J Bone Joint Surg Am, 65(7), pp.894~900 (1983)
  15. Golden KA, "Sternomastoid imbalance versus congenital muscular torticollis: Their relationship to positional plagiocephaly", Cleft Palate Craniofac J, 36(3), pp.256~261 (1999)
  16. Hummer CD, "The coexistence of torticollis and congenital dysplasia of the hip", J Bone Joint Surg Am, 54(6), pp.1255~1256 (1972)
  17. Hsu TC, "Correlation of clinical and ultrasonographic features in congenital muscular torticollis", Arch Phys Med Rehabil, 80(6), pp.637~641 (1999)
  18. Lee EH, "Surgical correction of muscular torticollis in the older child", J Pediatr Orthop, 6(5), pp.585~589 (1986)
  19. Leung YK, "The efficacy of manipulative treatment for sternomastoid tumours", J Bone Joint Surg Br, 69(3), pp.473~478 (1987)
  20. Ling CM, "Sternomastoid tumor and muscular torticollis", Clin Orthop Relat Res, 86, pp.144~150 (1972)
  21. Morrison DL, "Congenital muscular torticollis: Observations regarding clinical findings, associated conditions, and results of treatment", J Pediatr Orthop, 2(5), pp.500~505 (1982)
  22. Netter FH, "The CIBA Collection of Medical Illustrations. Vol 8. Musculoskelectal system. Part Ⅱ. Developmental Disorders, Tumors, Rheumatic diseases and Joint Replacement" (1990), Ciba-Geigy Co.
  23. Oleszek JL, "Botulinum toxin type A in the treatment of children with congenital muscular torticollis", Am J Phys Med Rehabil, 84(10), pp.813~816 (2005)
  24. Rahlin M, "TAMO therapy as a major component of physical therapy intervention for an infant with congenital muscular torticollis: A case report", Pediatr Phys Ther, 17(3), pp.209~218 (2005)
  25. Taylor JL, "Developmental muscular torticollis: Outcomes in young children treated by physical therapy", Pediatr Phys Ther, 9(4), pp.173~178 (1997)
  26. van Vlimmeren LA, "Torticollis and plagiocephaly in infancy: Therapeutic strategies", Pediatr Rehabil, 9(1), pp.40~46 (2006)

관련 논문AI추천

선천성 사경 환아의 치료 기간과 안면 비대칭에 영향을 미치는 요인서현두, 이관우, 이병희, 정이정특수교육재활과학연구소 · 특수교육재활과학연구2011 · 제50권 제1호Comparison of Clinical Severity of Congenital Muscular Torticollis Based on the Method of Child Birth박명철, 임신영, Han Byul Lee, Jae Deok Han, Jee Hyun Hwang, Seung Jae Lee, Se Yon Kim대한재활의학회 · Annals of Rehabilitation Medicine2011 · 제35권 제5호Effect of Pediatric Integrative Manual Therapy, a Novel Mobilization with Facilitation Movement Technique, on Congenital Muscular Torticollis after Cervical Rotation and Head angle: A Case Report김재등, 서태규, 송승혁, 황규정, 황원정대한정형도수물리치료학회 · 대한정형도수물리치료학회지2023 · 제29권 제2호The Cervical Range of Motion as a Factor Affecting Outcome in Patients With Congenital Muscular Torticollis고성은, 이인식, 이종민, 정희연, Hyun Bang, Jin-Youn Lee, Jung-Il Kang대한재활의학회 · Annals of Rehabilitation Medicine2013 · 제37권 제2호Factors That Affect the Rehabilitation Duration in Patients With Congenital Muscular Torticollis강은영, 김효정, 남두현, 이성훈, 전지환, 정아영대한재활의학회 · Annals of Rehabilitation Medicine2015 · 제39권 제1호Factors Affecting Rehabilitation Outcome of Congenital Muscular Torticollis윤태식, 한수정, Bo Mi Shin, Jung Min Lee대한재활의학회 · Annals of Rehabilitation Medicine2010 · 제34권 제6호

이 간행물의 다른 논문 (8건)