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Neural and visceral manipulation in infants with congenital muscular torticollis: a feasibility study

Journal: Journal of Physical Therapy Science Date: 2020/01, 32(1):Pages: 7-15. doi: Subito , type of study: clinical trial

Free full text   (https://www.jstage.jst.go.jp/article/jpts/32/1/32_jpts-2019-155/_article)

Keywords:

torticollis [21]
neural manipulation [2]
cervical spine [210]
visceral manipulation [23]
infants [143]
babies [13]
clinical trial [612]

Abstract:

[Purpose] As an alternative to manual stretching, the aim of this study was to investigate the feasibility of using neural/visceral manipulation as a safe and effective intervention to increase neck range of motion of infants with congenital muscular torticollis. [Participants and Methods] Ten 4-month old infants with congenital muscular torticollis received eight sessions of neural/visceral manipulation administered for 30-50 minutes without observed pain. Specific palpation techniques addressed restricted tissue areas of neck, head, trunk and extremities. Neck rotation and lateral flexion were assessed by still photography and a computer program calculating ROM angles before, immediately following, and 4 months post intervention. Motor development and social competence were monitored over time using the Alberta Infant Motor Scale and Bayley-III Social Emotional Scale. [Results] Results of analysis of variances revealed significant improvements in passive and active neck rotation and lateral flexion. Significant increases were also found on the Alberta Infant Motor Scale and Bayley-III Social-Emotional scale. [Conclusion] Neural/visceral manipulation can be used safely in infants with congenital muscular torticollis to improve neck range of motion.


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