Application of a multifunctional torticollis orthosis with manual correction in paediatric congenital myoton-ic torticollis
10.3969/j.issn.1001-1242.2024.03.008
- VernacularTitle:多功能斜颈矫形器配合手法矫正在小儿先天性肌性斜颈中的应用
- Author:
Jian ZHANG
1
;
Peng ZHAO
Author Information
1. 天津市儿童医院,天津市,300134
- Keywords:
congenital muscular torticollis;
orthosis;
surface electromyography;
correction
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(3):355-360
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of using multi-functional torticollis orthosis with manipulation in pediatric congenital myotonic torticollis. Method:In this study,60 children with congenital myotonic torticollis were randomly divided into a test group and a control group.The test group was treated with a multi-torticollis orthosis on the basis of tradition-al corrective manual therapy,while the control group was only treated with manual correction.After three months of treatment,the corrective effect of the orthosis in different neck positions of the children was ob-served.Surface electromyography(sEMG)data analysis was conducted by collecting sEMG signals of the stern-ocleidomastoid muscle in two neck positions:lateral flexion and rotation.The sEMG signal characteristics of each child's sternocleidomastoid muscle were then analyzed.Subsequently,an overall assessment of the treat-ment for the children with torticollis was performed. Result:The root mean square(RMS)values of the sternocleidomastoid surface EMG signals were significantly higher in the test group than those in the control group,with a significant difference(P＜0.05).There were sig-nificant differences between the two groups before and after treatment(P＜0.01).Overall,the total effective treatment rate in the test group was 96.67％,which was significantly higher than that in the control group,showing a significant difference(P＜0.01). Conclusion:In children with early-stage congenital muscular torticollis,the orthosis is precise,reliable,com-fortable and adjustable,and the combination of manual correction makes significant clinical outcomes and im-provements of torticollis in children.
