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Year : 2020  |  Volume : 52  |  Issue : 2  |  Page : 56-60

Rehabilitation in congenital muscular torticollis operated with Z-plasty: A case report

Department of Occupational Therapy, D. Y. Patil School of Occupational Therapy, Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Vanashree Chandrashekhar Nalawade
402/B Wing, Sparsh CHS Ltd., Bhingar Road, Shedung, Raigad, Panvel - 410 206, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijoth.ijoth_8_20

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Among the musculoskeletal congenital anomalies, congenital muscular torticollis (CMT) is the third most common. This condition presents with fibrosis of sternocleidomastoid muscle with increased lateral flexion on the same side and rotation on the opposite side. The objectives of the study were to reduce cervical deformity, mild facial asymmetry and to improve the range of motion of cervical lateral flexion and rotation. A 5-year-old female child had right torticollis for which she underwent Z-plasty. Evaluations were done on preoperative, postoperative day 1, 1 month, 4 months, and 7 months. Rehabilitation techniques included gradual stretching of the sternocleidomastoid muscle, splintage (static serial), positioning techniques, and play activities. Outcome measures observed were significant improvement in the posture of head tilt, range of motion using cervical goniometer, and facial asymmetry using photographs. This case report describes the importance of multidisciplinary treatment approach involving surgery, exercise therapy, play, and customized static serial splinting in the rehabilitation of CMT.

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