Comparison of Clinical Severity of Congenital Muscular Torticollis Based on the Method of Child Birth.
10.5535/arm.2011.35.5.641
- Author:
Seung Jae LEE
1
;
Jae Deok HAN
;
Han Byul LEE
;
Jee Hyun HWANG
;
Se Yon KIM
;
Myong Chul PARK
;
Shin Young YIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon 442-749, Korea. syyim@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Congenital torticollis;
Vaginal delivery;
Cesarean section
- MeSH:
Cesarean Section;
Child;
Exercise;
Female;
Humans;
Medical Records;
Parturition;
Pregnancy;
Retrospective Studies;
Torticollis
- From:Annals of Rehabilitation Medicine
2011;35(5):641-647
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To compare the clinical severity of congenital muscular torticollis (CMT) based on the method of child birth. METHOD: Children diagnosed with CMT and who were < 6-years-of-age at the time of their first visit at the Center for Torticollis, Ajou Medical Center, were included in this study. The medical records were retrospectively reviewed with reference to the method of child birth and the clinical severity of CMT. The clinical severity of CMT was determined either by whether stretching exercises were needed for the children <6-month-of-age or whether surgical release was required for the children > or =6-months-of-age at the time of the first visit. RESULTS: One hundred seventy eight subjects with CMT were enrolled. There was no significant difference in the rate of surgical release according to the method of child birth. For 132 patients <6-month-of-age there was also no significant difference in the rate of stretching exercises. CONCLUSION: There was no significant difference in the clinical severity of CMT based on the method of child birth. This finding suggests that prenatal factors alone could be a cause of CMT and that the clinical severity of CMT in children delivered by Cesarean section is not different when compared with the severity of CMT in children born through vaginal delivery.
