Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi

Hilal Keklicek; Fatma Uygur

doi:10.21653/tfrd.360023

Research Article

Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi

Year 2017, Volume: 28 Issue: 3, 85 - 92, 14.12.2017

Hilal Keklicek , Fatma Uygur

https://doi.org/10.21653/tfrd.360023

Abstract

Amaç: Bu çalışma deformasyonel plagiosefali ve konjenital musküler tortikollisin ev fizyoterapi ve rehabilitasyon programına cevabının araştırılması amacıyla planlandı.

Yöntem: Yaşları 0-6 ay arasında değişen konjenital musküler tortikollisi ve deformasyonel plagiosefalisi olan 32 bebek çalışmanın katılımcılarıydı. Bebekler fizyoterapi ve rehabilitasyon ev programıyla izlendi. İlk karşılaşmada, altıncı, 12. ve 18. haftalarda bebekler, Kas Fonksiyon Ölçeği, pasif boyun eklem hareketleri, baş tilti, Plagiosefali Şiddet Değerlendirme Ölçeği ve kulak şifti ölçümü ile değerlendirildiler.

Sonuçlar: Konjenital musküler tortikollisde, ilk ve altıncı hafta ile altıncı ve 12. haftalar arasında belirgin düzelme gözlemlendi (p<0,05), Onikinci haftada bu düzelme platoya ulaştı (p>0,05). Deformasyonel plagiosefali için, ilk ve altıncı hafta, altıncı hafta ve 12. haftalar arasında gözlenen düzelme, 12. ve 18. haftalar boyunca da devam etti (p<0,05). Onsekizinci haftada baş simetrisinde önemli iyileşme sağlanmasına rağmen, tedavi sürecinin sonunda hala baş düzleşmesi mevcuttu.

Tartışma: Çalışmada konjenital musküler tortikollisin fizyoterapi ve rehabilitasyonla üç ay içerisinde iyileşme gösterdiği halde, deformasyonel plagiosefalinin tedaviye ihtiyacının devam ettiği görüldü.

Keywords

Fizyoterapi, Sinostoz Olmayan Plagiosefali, Tortikollis

References

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2. van Vlimmeren LA, van der GraafY, Boere-Boonekamp M, LHoir M, Helders P, Engelbert R. Risk factors for deformational plagiocephaly at birth and at 7 weeks of age: a prospective cohort study. Pediatrics. 2007;119(2):e408.
3. Stellwagen L, Hubbard E, Chambers C, Jones KL. Torticollis, facial asymmetry and plagiocephaly in normal newborns. Arch Dis Child. 2008;93(10):827-31.
4. Rogers GF, Oh AK, Mulliken JB. The role of congenital muscular torticollis in the development of deformational plagiocephaly. Plast Reconstr Surg. 2009;123(2):643-52.
5. Shweikeh F, Nuño M, Danielpour M, Krieger MD, Drazin D. Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines. Neurosurg Focus. 2013;35(4):E1.
6. van Wijk RM, Boere-Boonekamp MM, Groothuis-Oudshoorn CG, van Vlimmeren LA, Ijzerman MJ. Helmet Therapy Assessment in Infants with Deformed Skulls (HEADS): protocol for a randomised controlled trial. Trials. 2012;13(1):1.
7. van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CG, Van der Ploeg CP, Ijzerman MJ, Boere-Boonekamp MM. Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ. 2014;348:g2741.
8. Do TT. Congenital muscular torticollis: current concepts and review of treatment. Curr Opin Pediatr. 2006;18(1):26-9.
9. Armstrong DC, Redman-Bentley D. Commentary on reliability of still photography measuring habitual head deviation from midline in ınfants with congenital muscular torticollis. Pediatr Phys Ther. 2010;22(4):407.
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11. Öhman A, Nilsson S, Beckung E. Stretching treatment for infants with congenital muscular torticollis: physiotherapist or parents? A randomized pilot study. PM&R. 2010;2(12):1073-9.
12. Cavalier A, Picot MC, Artiaga C, Mazurier E, Amilhau MO, Froye E., et al. Prevention of deformational plagiocephaly in neonates. Early Hum Dev. 2011;87(8):537-43.
13. Binder H, Eng G, Gaiser J, Koch B. Congenital muscular torticollis: results of conservative management with long-term follow-up in 85 cases. Arch Phys Med Rehabil. 1987;68(4):222-5.
14. Taylor JL, Norton ES. Developmental muscular torticollis: outcomes in young children treated by physical therapy. Pediatr Phys Ther. 1997;9(4):173-8.
15. Öhman A, Mårdbrink EL, Stensby J, Beckung E. Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis. Physiother Theory Pract. 2011;27(7):463-70.
16. Emery, C. Conservative management of congenital muscular torticollis: a literature review. Phys Occup Ther Pediatr.1997;17(2):13-20.
17. Van Vlimmeren LA, Helders PJ, Van Adrichem LN, Engelbert RH. Torticollis and plagiocephaly in infancy: therapeutic strategies. Dev Neurorehabil. 2006;9(1):40-6.
18. Cheng JCY, Au AWY. Infantile torticollis: a review of 624 cases. J Pediatr Orthop. 1994;14(6):802-8.
19. van Adrichem LN, van Vlimmeren LA, Cadanová D, Helders PJ, Engelbert RH, van Neck HJ, et al. Validation of a simple method for measuring cranial deformities (plagiocephalometry). J Craniofac Surg. 2008;19(1):15-21.
20. Hutchison BL, Hutchison LA, Thompson JM, Mitchell EA. Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study. Pediatrics. 2006;114(4):970-80.
21. Celayir AC. Congenital muscular torticollis: early and intensive treatment is critical. A prospective study. Pediatr Int. 2000;42(5):504-7.
22. Ohman AM, Nilsson S, Beckung ER. Validity and reliability of the muscle function scale, aimed to assess the lateral flexors of the neck in infants. Physiother Theory Pract. 2009;25(2):129-37.
23. Ridgway EB, Weiner HL. Skull deformities. Pediatr Clin North Am. 2004;51(2):359-87.
24. Losee JE, Mason AC. Deformational plagiocephaly: diagnosis, prevention, and treatment. Clin Plast Surg. 2005;32(1):53-64.
25. Kalra R, Walker ML. Posterior plagiocephaly. Childs Nerv Syst. 2012;28(9):1389-93.
26. Kaplan SL, Coulter C, Fetters L. Physical therapy management of congenital muscular torticollis: an evidence-based clinical practice guideline: from the Section on Pediatrics of The American Physical Therapy Association. Pediatr Phys Ther. 2013;25(4):348-94.
27. Chon SC, Yoon SI, You JH. Use of the novel myokinetic stretching technique to ameliorate fibrotic mass in congenital muscular torticollis: an experimenter-blinded study with 1-year follow-up. J Back Musculoskelet Rehabil. 2010;23(2):63-8.
28. Yüksel İ. Masaj teknikleri, Ankara: Hipokrat Kitabevi; 2016. 29. Ranganathan P, Pramesh CS, Aggarwal R. Common pitfalls in statistical analysis: Intention-to-treat versus per-protocol analysis. Perspect Clin Res. 2016;7(3):144.
30. Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
31. Golden KA, Beals SP, Littlefield TR, Pomatto JK. Sternocleidomastoid imbalance versus congenital muscular torticollis: their relationship to positional plagiocephaly. Cleft Palate Craniofac J. 1999;36(3):256- 61.
32. Kim SY, Park MS, Yang JI, Yim SY. Comparison of helmet therapy and counter positioning for deformational plagiocephaly. Ann Rehabil Med. 2013;37(6):785-95.
33. Kluba S, Lypke J, Kraut W, Krimmel M, Haas-Lude K, Reinert S. Preclinical pathways to treatment in infants with positional cranial deformity. Int J Oral Maxillofac Surg. 2014;43(10):1171-5.
34. van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJ, Engelbert RH. Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference: a randomized controlled trial. Arch Pediatr Adolesc Med. 2008;162(8):712-8.
35. Ohman AM, Beckung ER. Reference values for range of motion and muscle function of the neck in infants. Pediatr Phys Ther. 2008;20(1):53-8.

Year 2017, Volume: 28 Issue: 3, 85 - 92, 14.12.2017

Hilal Keklicek , Fatma Uygur

https://doi.org/10.21653/tfrd.360023

Abstract

References

1. Hutchison BL, Hutchison LA, Thompson JM, Mitchell EA. Plagiocephaly and brachycephaly in the first two years of life: A prospective cohort study. Pediatrics. 2006;114(4):970-80.
2. van Vlimmeren LA, van der GraafY, Boere-Boonekamp M, LHoir M, Helders P, Engelbert R. Risk factors for deformational plagiocephaly at birth and at 7 weeks of age: a prospective cohort study. Pediatrics. 2007;119(2):e408.
3. Stellwagen L, Hubbard E, Chambers C, Jones KL. Torticollis, facial asymmetry and plagiocephaly in normal newborns. Arch Dis Child. 2008;93(10):827-31.
4. Rogers GF, Oh AK, Mulliken JB. The role of congenital muscular torticollis in the development of deformational plagiocephaly. Plast Reconstr Surg. 2009;123(2):643-52.
5. Shweikeh F, Nuño M, Danielpour M, Krieger MD, Drazin D. Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines. Neurosurg Focus. 2013;35(4):E1.
6. van Wijk RM, Boere-Boonekamp MM, Groothuis-Oudshoorn CG, van Vlimmeren LA, Ijzerman MJ. Helmet Therapy Assessment in Infants with Deformed Skulls (HEADS): protocol for a randomised controlled trial. Trials. 2012;13(1):1.
7. van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CG, Van der Ploeg CP, Ijzerman MJ, Boere-Boonekamp MM. Helmet therapy in infants with positional skull deformation: randomised controlled trial. BMJ. 2014;348:g2741.
8. Do TT. Congenital muscular torticollis: current concepts and review of treatment. Curr Opin Pediatr. 2006;18(1):26-9.
9. Armstrong DC, Redman-Bentley D. Commentary on reliability of still photography measuring habitual head deviation from midline in ınfants with congenital muscular torticollis. Pediatr Phys Ther. 2010;22(4):407.
10. Klackenberg EP, Elfving B, Haglund-Åkerlind Y, Carlberg EB. Intra-rater reliability in measuring range of motion in infants with congenital muscular torticollis. Adv Physiother. 2005;7(2):84-91.
11. Öhman A, Nilsson S, Beckung E. Stretching treatment for infants with congenital muscular torticollis: physiotherapist or parents? A randomized pilot study. PM&R. 2010;2(12):1073-9.
12. Cavalier A, Picot MC, Artiaga C, Mazurier E, Amilhau MO, Froye E., et al. Prevention of deformational plagiocephaly in neonates. Early Hum Dev. 2011;87(8):537-43.
13. Binder H, Eng G, Gaiser J, Koch B. Congenital muscular torticollis: results of conservative management with long-term follow-up in 85 cases. Arch Phys Med Rehabil. 1987;68(4):222-5.
14. Taylor JL, Norton ES. Developmental muscular torticollis: outcomes in young children treated by physical therapy. Pediatr Phys Ther. 1997;9(4):173-8.
15. Öhman A, Mårdbrink EL, Stensby J, Beckung E. Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis. Physiother Theory Pract. 2011;27(7):463-70.
16. Emery, C. Conservative management of congenital muscular torticollis: a literature review. Phys Occup Ther Pediatr.1997;17(2):13-20.
17. Van Vlimmeren LA, Helders PJ, Van Adrichem LN, Engelbert RH. Torticollis and plagiocephaly in infancy: therapeutic strategies. Dev Neurorehabil. 2006;9(1):40-6.
18. Cheng JCY, Au AWY. Infantile torticollis: a review of 624 cases. J Pediatr Orthop. 1994;14(6):802-8.
19. van Adrichem LN, van Vlimmeren LA, Cadanová D, Helders PJ, Engelbert RH, van Neck HJ, et al. Validation of a simple method for measuring cranial deformities (plagiocephalometry). J Craniofac Surg. 2008;19(1):15-21.
20. Hutchison BL, Hutchison LA, Thompson JM, Mitchell EA. Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study. Pediatrics. 2006;114(4):970-80.
21. Celayir AC. Congenital muscular torticollis: early and intensive treatment is critical. A prospective study. Pediatr Int. 2000;42(5):504-7.
22. Ohman AM, Nilsson S, Beckung ER. Validity and reliability of the muscle function scale, aimed to assess the lateral flexors of the neck in infants. Physiother Theory Pract. 2009;25(2):129-37.
23. Ridgway EB, Weiner HL. Skull deformities. Pediatr Clin North Am. 2004;51(2):359-87.
24. Losee JE, Mason AC. Deformational plagiocephaly: diagnosis, prevention, and treatment. Clin Plast Surg. 2005;32(1):53-64.
25. Kalra R, Walker ML. Posterior plagiocephaly. Childs Nerv Syst. 2012;28(9):1389-93.
26. Kaplan SL, Coulter C, Fetters L. Physical therapy management of congenital muscular torticollis: an evidence-based clinical practice guideline: from the Section on Pediatrics of The American Physical Therapy Association. Pediatr Phys Ther. 2013;25(4):348-94.
27. Chon SC, Yoon SI, You JH. Use of the novel myokinetic stretching technique to ameliorate fibrotic mass in congenital muscular torticollis: an experimenter-blinded study with 1-year follow-up. J Back Musculoskelet Rehabil. 2010;23(2):63-8.
28. Yüksel İ. Masaj teknikleri, Ankara: Hipokrat Kitabevi; 2016. 29. Ranganathan P, Pramesh CS, Aggarwal R. Common pitfalls in statistical analysis: Intention-to-treat versus per-protocol analysis. Perspect Clin Res. 2016;7(3):144.
30. Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
31. Golden KA, Beals SP, Littlefield TR, Pomatto JK. Sternocleidomastoid imbalance versus congenital muscular torticollis: their relationship to positional plagiocephaly. Cleft Palate Craniofac J. 1999;36(3):256- 61.
32. Kim SY, Park MS, Yang JI, Yim SY. Comparison of helmet therapy and counter positioning for deformational plagiocephaly. Ann Rehabil Med. 2013;37(6):785-95.
33. Kluba S, Lypke J, Kraut W, Krimmel M, Haas-Lude K, Reinert S. Preclinical pathways to treatment in infants with positional cranial deformity. Int J Oral Maxillofac Surg. 2014;43(10):1171-5.
34. van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJ, Engelbert RH. Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference: a randomized controlled trial. Arch Pediatr Adolesc Med. 2008;162(8):712-8.
35. Ohman AM, Beckung ER. Reference values for range of motion and muscle function of the neck in infants. Pediatr Phys Ther. 2008;20(1):53-8.

There are 34 citations in total.

Details

Subjects	Health Care Administration
Journal Section	Articles
Authors	Hilal Keklicek Fatma Uygur This is me
Publication Date	December 14, 2017
Published in Issue	Year 2017 Volume: 28 Issue: 3

Cite

APA	Keklicek, H., & Uygur, F. (2017). Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi. Fizyoterapi Rehabilitasyon, 28(3), 85-92. https://doi.org/10.21653/tfrd.360023
AMA	Keklicek H, Uygur F. Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi. Fizyoterapi Rehabilitasyon. December 2017;28(3):85-92. doi:10.21653/tfrd.360023
Chicago	Keklicek, Hilal, and Fatma Uygur. “Konjenital Musküler Tortikollis Ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi”. Fizyoterapi Rehabilitasyon 28, no. 3 (December 2017): 85-92. https://doi.org/10.21653/tfrd.360023.
EndNote	Keklicek H, Uygur F (December 1, 2017) Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi. Fizyoterapi Rehabilitasyon 28 3 85–92.
IEEE	H. Keklicek and F. Uygur, “Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi”, Fizyoterapi Rehabilitasyon, vol. 28, no. 3, pp. 85–92, 2017, doi: 10.21653/tfrd.360023.
ISNAD	Keklicek, Hilal - Uygur, Fatma. “Konjenital Musküler Tortikollis Ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi”. Fizyoterapi Rehabilitasyon 28/3 (December 2017), 85-92. https://doi.org/10.21653/tfrd.360023.
JAMA	Keklicek H, Uygur F. Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi. Fizyoterapi Rehabilitasyon. 2017;28:85–92.
MLA	Keklicek, Hilal and Fatma Uygur. “Konjenital Musküler Tortikollis Ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi”. Fizyoterapi Rehabilitasyon, vol. 28, no. 3, 2017, pp. 85-92, doi:10.21653/tfrd.360023.
Vancouver	Keklicek H, Uygur F. Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi. Fizyoterapi Rehabilitasyon. 2017;28(3):85-92.

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