Congenital muscular torticollis severity classifications in the diagnosis and prognosis of infants′ congenital muscular torticollis
10.3760/cma.j.issn.0254-1424.2021.09.012
- VernacularTitle:先天性肌性斜颈严重程度评分表对小儿先天性肌性斜颈诊断及预后的评估价值
- Author:
Wencong RUAN
1
;
Huiying JIN
;
Pingri YANG
;
Qing DONG
;
Wei ZHU
;
Tong CHEN
;
Haifeng LI
Author Information
1. 浙江大学医学院附属儿童医院康复科，国家儿童健康与疾病临床医学研究中心，杭州 310003
- Keywords:
Congenital muscular torticollis;
Multivariate analysis;
Muscular torticollis severity classification
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2021;43(9):821-825
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of congenital muscular torticollis severity classification scores (CMT-SCSTs) in the diagnosis and prognosis of infants′ congenital muscular torticollis (CMT).Methods:A total of 89 CMT children were examined using ultrasound to determine the size of the affected side and the contralateral sternocleidomastoid mass or the abnormal area of the muscle fringe echo from the head and neck. They were also rated using CMT-SCST scoring. They were then given 15 minutes of massage once a day and 5 minutes postural correction twice a day for 3 to 6 months. They were reviewed using ultrasound and the CMT-SCST 3 and 6 months later.Results:The number of treatments was negatively correlated with the initial CMT-SCST score. For those with a baseline CMT-SCST score ≥7 it was effective after 3 and 6 months. Those with a baseline CMT-SCST score ≥9 were almost cured after 3 and 6 months. Gender, age, signs of hip dysplasia, and comorbid global developmental delay (GDD) were not consistently related to the severity and the outcome of CMT. The CMT-SCST was more sensitive in prognosis than the CMT-SCS published in 2013.Conclusions:CMT-SCST scoring provides a theoretical foundation for the diagnosis and treatment and evaluation of infants with CMT. It deserves wider popularity and application in clinical practice.
