The Effect of Home Exercise Programs Applied of Congenital Muscular Torticollis.

NCT06225934 | Unknown

• 1 other identifier: muscular torticollis
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Congenital muscular torticollis (CMT) is the third most common musculoskeletal disorder of infancy, affecting 3.9% to 16% of infants. It develops due to unilateral shortening of the SCM, whether or not there is a mass in the sternocleidomastoid muscle (SCM). CMT is characterized by lateral flexion of the affected SCM to the ipsilateral side and rotation to the contralateral side. Its etiology is not fully known. However, it can be associated with SCM disorder that develops due to birth trauma, prenatal/perinatal compartment syndrome and intrauterine restriction. It has been reported that conditions such as multiple pregnancy, intrauterine stenosis, vascular causes, fibrosis of the peripartum bleeding area, use of forceps at birth, difficult birth, and primary myopathy of SCM increase the possibility of CMT. It is necessary to approach babies diagnosed with CMT with an effective treatment program. The most important and effective of these approaches is to provide the necessary education and an intensive home program to their families, with whom they spend most of their days. By educating the family, on the one hand, the baby will receive regular treatment and the family's communication with the baby will be strengthened, while on the other hand, limitations such as transportation, time and cost will be eliminated. In our study; It was aimed to examine the effectiveness of the home program given in cooperation with the family in babies diagnosed with CMT and to create a new protocol.

Conditions

Congenital Muscular Torticollis; Family Members

Keywords

Cooperation with the family; Congenital Muscular Torticollis

Outcome Measures

Primary Outcomes (4)

• Test Of Sensory Functions In Infants (TSFI)

  It will be used to evaluate the sensory development of babies. The test is frequently used to evaluate the sensory processing functions of babies aged 4-18 months. It is used to determine whether a baby has a sensory processing problem and to what extent. It consists of 24 items.

  1-12 months

• Peabody Developmental Motor Scales-2

  It is planned to use the Peabody Motor Development Scale-2 (PMDS-2) to evaluate motor development. It is designed to identify developmental delays in children between the ages of 0-72 months. It is used to evaluate children's motor development with separate tests and rating scales for both gross motor skills and fine motor skills.

  1-12 months

• Hammersmith Infant Neurological Examination (HINE)

  It is planned to be used for neurological status evaluation. It is a neurological examination consisting of 3 separate parts, standardized for babies aged 2-24 months. It contains a total of 37 items examining neurological status, motor development and behavioral status. The test evaluates cranial nerve function, movements, reflexes, posture and tonus, motor development stages, social orientation, emotional state and alertness. Total score varies between 0-78 points. A higher score indicates that the baby's condition is better.

  1-12 months

• Arthrodial protractor

  It is planned to use an arthrodial protractor to determine the lateral flexion and rotation range of motion of the neck.

  1-12 months

Secondary Outcomes (1)

• Infant/Toddler Sensory Profile

  1-12 months

Study Arms (1)

congenital muscular torticollis

Babies diagnosed with congenital muscular torticollis (CMT) who agree to participate in the study and meet the inclusion criteria will be included in the study without using any sample selection method, since it is a single-arm study. The parents of each baby will first be informed about the content of the study and will read and sign the consent form stating that they participate in the study voluntarily.

Behavioral: Exercise and home program to increase lateral flexion and rotation angles

Interventions

Exercise and home program to increase lateral flexion and rotation angles BEHAVIORAL

Suggestions will be made to the parent/caregiver of the baby diagnosed with congenital muscular torticollis (CMT) participating in the study to increase the baby's decreasing lateral flexion and rotation angles, and parents/caregivers will be advised to integrate these suggestions into their daily routine as much as possible.These suggestions; It includes holding-carrying-breastfeeding (feeding) principles, active-passive lateral flexion and active stretching of the child and activities that will increase joint range of motion for the SCM muscle, environmental arrangements, games that enable the development of active symmetrical movements and prone activities. The home program to be implemented by parents/caregivers will continue for 6 weeks. During the evaluations, the demographic characteristics of the babies (gender, gestational age, birth weight, parental information, mother's pregnancy type, pregnancy history, Apgar score, ultrasonography values, etc.) will be recorded.

congenital muscular torticollis

Eligibility Criteria

• Age: 1 Month - 12 Months
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Fifteen babies diagnosed with congenital muscular torticollis (CMT) who are between 0-12 months old and agree to participate in the study will be included in the study. Congenital muscular torticollis (CMT) is the third most common musculoskeletal disorder of infancy, affecting 3.9% to 16% of infants. It develops due to unilateral shortening of the SCM, regardless of whether there is a mass in the sternocleidomastoid muscle (SCM). CMT is characterized by lateral flexion of the affected SCM to the ipsilateral side and rotation to the contralateral side.

You may qualify if:

• Babies aged 0-12 months with a diagnosis of congenital muscular torticollis (CMT)
• Families who agree to participate in the study will be included in the exercise program

You may not qualify if:

• Those who have any neurological risk factors were included in the study,
• Those who are affected by their visual/hearing senses,
• Those who have not been diagnosed with Congenital muscular torticollis (CMT) by a doctor,
• Those who have previously received treatment for the diagnosis of CMT,
• Babies with a history of BOTOX-A/surgery applied to the Sternocleidomastoid (SKM) muscle before treatment will not be included.

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Rabia ZORLULAR

Ankara, Turkey (Türkiye)

RECRUITING

Related Publications (4)

• Stellwagen L, Hubbard E, Chambers C, Jones KL. Torticollis, facial asymmetry and plagiocephaly in normal newborns. Arch Dis Child. 2008 Oct;93(10):827-31. doi: 10.1136/adc.2007.124123. Epub 2008 Apr 1.

  PMID: 18381343 RESULT

• Aarnivala HE, Valkama AM, Pirttiniemi PM. Cranial shape, size and cervical motion in normal newborns. Early Hum Dev. 2014 Aug;90(8):425-30. doi: 10.1016/j.earlhumdev.2014.05.007. Epub 2014 Jun 13.

  PMID: 24951081 RESULT

• Sargent B, Kaplan SL, Coulter C, Baker C. Congenital Muscular Torticollis: Bridging the Gap Between Research and Clinical Practice. Pediatrics. 2019 Aug;144(2):e20190582. doi: 10.1542/peds.2019-0582.

  PMID: 31350358 RESULT

• Hardgrib N, Rahbek O, Moller-Madsen B, Maimburg RD. Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis? J Orthop Traumatol. 2017 Dec;18(4):359-364. doi: 10.1007/s10195-017-0461-z. Epub 2017 Jun 29.

  PMID: 28664414 RESULT

MeSH Terms

Conditions

Congenital torticollis

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Sinem ERTURAN

  Study Principal Investigator

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sinem ERTURAN

CONTACT

+905388557084; snm.ertrn@gmail.com

Rabia ZORLULAR

CONTACT

+905424362082; rabiaeraslan118@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: January 17, 2024
• First Posted: January 26, 2024
• Study Start: January 15, 2024
• Primary Completion: March 15, 2024
• Study Completion: March 15, 2024
• Last Updated: January 26, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)