Reduction of Congenital Torticollis in a Four Month Old Child with Vertebral Subluxation: A Case Report & Review of Literature
Pamela A. Stone – McCoy, BS, DC, FICPA, Nova A. Grande, DC, Isabelle Roy, BA, DC
Journal of Vertebral Subluxation Research ~ January 7, 2008 ~ Pages 1-8
Objective: To document clinical changes after a course of chiropractic care and physical therapy in a pediatric patient presenting with congenital muscular torticollis (CMT) and vertebral subluxation.
Clinical Features: A four month old female with congenital torticollis presents to a chiropractic office, having previously undergone physical therapy, Cranial-Sacral Therapy and myofascial release therapy with limited improvement. Chiropractic exam revealed a left head tilt with severely decreased left cervical rotation as well as resistance upon passive flexion of the left arm. Vertebral subluxations were found in the cervical spine and pelvis.
Intervention and Outcome: The patient received chiropractic adjustments, stretching and trigger point therapy. Palpation, range of motion and posture analysis were used to determine location of subluxation and needed correction. Through the course of care, postural as well as functional improvements were observed.
Conclusion: In this child, congenital muscular torticollis was markedly reduced with a combination of chiropractic care directed at reducing vertebral subluxation and physical therapy. Previous studies, pathophysiology and treatment pertaining to birth trauma, Congenital Muscular Torticollis and chiropractic are reviewed. Additional research is encouraged in order to further elucidate the best treatment strategy for these children.
Key Words: Torticollis, chiropractic, congenital torticollis, sternomastoid torticollis, congenital muscular torticollis, vertebral subluxation