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Congenital Muscular Torticolli
NM exam 2
8
Other
Graduate
10/29/2008

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Cards

Term
Definition of CMT
Definition
unilateral shortening of the SCM diagnosed shortly after birth: IPSILATERAL TILT and CONTRALATERAL ROT of face and chin
Term
Etiology of CMT
Definition
intrauterine confinement and malposition; difficult birth process (LBW); risk factors: male, breeched, multiple birth, 1st pregnancy for mom; difficult labor/delivery; maternal uterine abnormalities
Term
S&Sx for Dx of CMT
Definition
psuedotumor/fibrous mass between 14-21 days after birth; restricted ROM; abnormal head posture
Term
3 subtypes of CMT
Definition
1. sternomastoid tumor: tightness w/ palpable mass
2. muscular: tightness w/ no palpable mass
3. postural: no tightness and no mass
Term
Plagiocephaly
Definition
inc. pressure on 1 area of the skull; assoc. w/ CMT; cranial deformity (asymmetrical shaped head, usu. occurs w/ most cases of CMT, inc. w/ back to sleep campaign); 80% skull growth completed before 12 mo. of age; best results of conservative tx is prior to 3 mo.; look at head position from superior to inferior angle, flattened occiput usu. contralateral to tight SCM; use of helmets
Term
Examination of CMT
Definition
Cervical AROM/PROM, UE AROM/PROM, palpation for possible tumor, hip ROM, head shape (check for plagiocephaly), facial asymmetry, vision/hearing, reflexes
Term
Intervention for CMT
Definition
AROM/PROM/stretching- stabilize shld; carrying and positioning (sideline w/ pillow under tight SCM, tummy time, turn away from flat side, etc); orthotics (TOT collars) - 4 mo. or older, head tilt >5 degrees, head righting attempts, adequate PROM, head righting attempts, don't use during sleep, car riding, or unattended
Term
Anticipated outcomes w/ PT
Definition
full ROM, age approp. motor skills, symmetric midline play in supine and prone w/ head in alignment, anti-gravity mov't, symmetrical head righting
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