Analiza postępowania leczniczego dziecka z kręczem szyi pochodzenia mięśniowego

Anna Małgorzata Jaroń, *Bożena Werner

Summary
Torticollis is a disorder, characterized by the abnormal, inclined towards one side position of the head with the rotation of the chin towards opposite site. We can distinguish three main types of stiff neck: congenital muscular, congenital osseous and acquired torticollis.
The authors describe 3.5 years old girl with left sided congenital muscular torticollis. Stiff neck coexisting with hip dysplasia was diagnosed at the age of two months. The following treatment was introduced: massages, Vojta method and sensory integration. With regard to the process of malformation the operation was performed.
After surgery the physiotherapy was continued to increase the range of motion and included laser therapy, massages, stretching of the affected sternocleidomastoid muscle, specific strength exercises and handling strategies.
The physiotherapy treatment was lasted for five months. The exercises were performed 3-4 times daily for 20-30 minutes. The good result of the combined treatment was achieved.
The authors emphasize the significance of physiotherapy of torticollis as the main therapeutic procedure that with proper application could eliminate necessity of surgical procedure and propose the selection of rehabilitation methods.

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