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Torticollis

Torticollis. Lauren Jones, Marina Castanedo & Randy Eang. What is it?. Also known as Wryneck Head and chin are tilted at opposite angles, causing head to twist Asymmetrical Appearance Effected muscle:sternocleidomastoid. What is it?. Can exist before or at birth

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Torticollis

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  1. Torticollis Lauren Jones, Marina Castanedo & Randy Eang

  2. What is it? • Also known as Wryneck • Head and chin are tilted at opposite angles, causing head to twist • Asymmetrical Appearance • Effected muscle:sternocleidomastoid

  3. What is it? • Can exist before or at birth • Congenital Muscular Torticollis • Can occur during childhood up through adult age • Acquired/Noncongenital Muscular Torticollis • Both cause asymmetrical appearance and function in the neck and head of those afflicted

  4. Prevalence • Less than .4% of newborns • Torticollis does not prefer one side of head or the other • In CMT, ratio of boys to girls is 3:2 • Increased head size in male babies

  5. Prevalence • In adults, noncongenital muscular torticollis has an average onset of 40 years old • Females twice as likely afflicted than males • Usually equal distribution between right and left side of body afflicted • Slightly more right torticollis in older female populations

  6. Causes? • Not well understood • Almost 80 entities have been reported to cause torticollis • Common causes: • Developmental disorders affecting sternocleidomastoid muscle • Imbalance in function of cervical muscles • Other abnormalities in skull/cervical area

  7. Other Causes • Genetic defect • Infants position during pregnancy or delivery • Tumors in head or neck • Arthritis of neck • Pseudotumors in infants • Certain medications • Genes • More likely to be afflicted if family member had torticollis or similar disorder

  8. Symptoms • Adults and Children: • Abnormal contraction of the neck • Limited range of motion • Stiff neck muscles • Possible swelling and pain • Can often be mistaken for more serious condition • See medical professional immediately

  9. Symptoms • Infants: • Tilting of chin • Small mass (pseudotumor) in neck • Small neck spasms • Diagnosed before 1 month old = shorter physical therapy

  10. Prognosis • Most helpful diagnosis is made early • Not life threatening • May self correct itself • May be chronic and reoccurring • Any complications may result from compressed nerve roots

  11. Treatments • Stretching and lengthening affected neck muscles • Applying heat, massage, analgesics • Can be combined with TENS • Transcutaneous Electrical Nerve Stimulation • Medical treatment—Bacolfen or Botox • Injection every three months

  12. Treatments • Surgery in severe cases • Patients whose pathology does not resolve after 12 months of physical therapy or who develops facial asymmetry • Risk of injury to spinal nerves

  13. Preventive Measures • Nearly impossible to prevent • Become familiar with symptoms • Seek medical attention • Other serious conditions may be confused for Torticollis and are not treated correctly

  14. Any Questions?

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