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KMID : 0361420110350050641
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 5 p.641 ~ p.647
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Comparison of Clinical Severity of Congenital Muscular Torticollis Based on the Method of Child Birth
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Lee Seung-Jae
Han Jae-Deok
Lee Han-Byul
Hwang Jee-Hyun
Kim Se-Yon
Park Myong-Chul
Yim Shin-Young
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Abstract
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Objective: To compare the clinical severity of congenital muscular torticollis (CMT) based on the method of child birth.
Method: Children diagnosed with CMT and who were < 6-years-of-age at the time of their fi rst visit at the Center for Torticollis, Ajou Medical Center, were included in this study. The medical records were retrospectively reviewed with reference to the method of child birth and the clinical severity of CMT. Th e clinical severity of CMT was determined either by whether stretching exercises were needed for the children <6-month-of-age or whether surgical release was required for the children ≥6-months-of-age at the time of the fi rst visit.
Results: One hundred seventy eight subjects with CMT were enrolled. Th ere was no signifi cant diff erence in the rate of surgical release according to the method of child birth. For 132 patients <6-month-of-age there was also no signifi cant diff erence in the rate of stretching exercises.
Conclusion: Th ere was no signifi cant diff erence in the clinical severity of CMT based on the method of child birth. Th is fi nding suggests that prenatal factors alone could be a cause of CMT and that the clinical severity of CMT in children delivered by Cesarean section is not diff erent when compared with the severity of CMT in children born through vaginal delivery.
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KEYWORD
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Congenital torticollis, Vaginal delivery, Cesarean section
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