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首页> 外文期刊>Physiotherapy theory and practice >Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis.
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Evaluation of treatment strategies for muscle function in infants with congenital muscular torticollis.

机译：先天性肌性斜颈婴儿的肌肉功能治疗策略评估。

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This study focuses on the treatment of the muscle function imbalance and asymmetric head posture for infants with congenital muscular torticollis (CMT). The aim of this study was to compare treatment time for groups with different strategies for muscle function training. The treatment goal was to achieve a symmetric head posture. Thirty-seven infants were randomised to three groups. Group I was treated only with handling strategies. Group II got the same handling strategies but also received specific strength exercises. Group III received the same treatment as group II but was also provided with weekly training by a physiotherapist. Mean age at the start of treatment was 4.5 months of age, range 1-10.5. The possible effect of covariates was also investigated; age at the start of treatment, range of motion (ROM) in rotation of the neck, ROM in lateral flexion of the neck, the muscle function scale (MFS) score, plagiocephaly, and gender were analysed with ANCOVA. Thirty-one treated infants achieved symmetric head posture before the age of 12 months. Mean treatment time (3.5 month) did not differ significantly between the groups. All infants randomised to group I could stay in that group. The MFS score and age at the start of the treatment influenced treatment time (p < 0.05). The treatment time for all groups was similar. Early referral to physical therapy of infants with CMT and muscle function imbalance in lateral righting could shorten treatment time. Studies about natural course and long-term effects of muscular imbalance must be investigated in future research.
机译：这项研究的重点是治疗先天性肌性斜颈（CMT）婴儿的肌肉功能失衡和头部姿势不对称。这项研究的目的是比较具有不同肌肉功能训练策略的组的治疗时间。治疗目标是实现对称的头部姿势。三十七名婴儿被随机分为三组。第一组只接受了处理策略。第二组采用相同的处理策略，但也进行了特定的力量练习。第三组接受与第二组相同的治疗，但物理治疗师每周接受一次培训。开始治疗时的平均年龄为4.5个月大，范围为1-10.5。还研究了协变量的可能影响。治疗开始时的年龄，颈部旋转的活动范围（ROM），颈部侧屈的ROM，肌肉功能量表（MFS）得分，斜头畸形和性别均用ANCOVA分析。 31例接受治疗的婴儿在12个月大之前已经达到了对称的头部姿势。两组之间的平均治疗时间（3.5个月）无显着差异。随机分组到第一组的所有婴儿都可以留在该组中。治疗开始时的MFS评分和年龄会影响治疗时间（p <0.05）。所有组的治疗时间相似。早期转诊患有CMT和侧向扶正肌功能不平衡的婴儿，可以缩短治疗时间。关于自然过程和肌肉失衡的长期影响的研究必须在未来的研究中进行研究。

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