Physical Therapy for Treating Torticollis to Enhance Movement in Infants

Torticollis
This is a Torticollis Treatment Blog
The blog is published by 4 Oct, 2023

Torticollis, also known as a wry neck, is a condition where a baby’s neck muscles become tight, causing its head to tilt to one side. This condition can be worrisome for parents, but the good news is that torticollis is treatable, and early intervention can lead to successful outcomes.

In this guide, we will explore the causes, symptoms, and various preferred torticollis treatment baby needs.

Table of Contents

  1. What is Torticollis in Infants?
  2. 4 Types of Torticollis Treatment
  3. Torticollis Treatment Options
  4. Physical Therapy for Torticollis Treatment
  5. Torticollis Exercises for Babies
  6. Conclusion
  7. FAQs

What is Torticollis in Infants?

Torticollis in infants, medically known as congenital muscular torticollis (CMT), is a condition where a baby’s neck muscles become tight and shortened on one side, causing their head to tilt to one side and turn to the opposite side. This condition can make it challenging for a baby to move their head freely and comfortably.

Torticollis treatment baby needs requires methods that can vary depending on the age of the individual and the severity of the condition. Early intervention, especially for torticollis treatment for babies, is vital for the best outcomes.

4 Types of Torticollis Treatment

Refer to the below table for a better understanding-

Type of Torticollis Torticollis Symptoms Torticollis Causes
Congenital Torticollis When a baby’s head tilts to one side, limited neck movement, and tightness in the neck. This condition can result from abnormal positioning in the womb, birth trauma (such as forceps delivery), or genetic factors.
Acquired Torticollis Acquired torticollis typically presents with a sudden onset of head tilt and muscle spasms in the neck. It may be caused by infections, such as ear or throat infections, neck injuries, or underlying issues with neck muscles.
Muscular Torticollis It is a persistent head tilt and stiffness or tightness in the neck muscles. This condition is often associated with muscle imbalances (dystonia) or injuries, as well as incorrect positioning during sleep.
Positional Torticollis When a baby consistently turns their head to one side and develops a flat spot on the head. It is typically caused by prolonged periods of maintaining a single head position, such as in a crib, leading to muscle tightness.

Torticollis Treatment Options

The good news is that torticollis is highly treatable, and early intervention is essential for the best results. Torticollis treatment baby needs may include-

  1. Physical Therapy

This is often the primary treatment for torticollis in babies. A physical therapist will work with the baby and parents to teach stretching exercises and gentle neck movements to improve muscle flexibility and strength.

  1. Positional Changes

Adjust the baby’s crib and changing table positions to encourage them to turn their head in the less favored direction.

  1. Orthotic Devices

In rare cases, orthotic devices such as neck braces or helmets may be recommended for severe cases or when other treatments are not effective.

  1. Surgery

Surgical intervention is considered a last resort when other treatments have not been effective. Surgery aims to release or lengthen tightened neck muscles to improve head alignment. After surgical correction, physical therapy is essential to aid in rehabilitation and prevent muscle contractures.

Physical Therapy for Torticollis Treatment

In some instances, doctors may recommend consulting a physical therapist for comprehensive torticollis treatment in babies. During treatment, the therapist will assess the baby’s progress through check-ups every 2 to 4 weeks.

These visits involve measuring the baby’s neck rotation, enhancing neck muscle strength to improve range of motion, and addressing any head shape concerns. While a few children may need helmets, the majority will not.

Torticollis Exercises for Babies

Let us now discuss some effective exercises for torticollis treatment baby needs-

  1. Neck Stretches

Try chin-to-chest stretch by gently guiding your baby’s chin towards their chest and holding it for a few seconds. Also try out ear-to-shoulder stretch by tilting your baby’s head towards one shoulder, holding, and then switching to the other side.

  1. Tummy Time

Add colorful and engaging toys in front of your baby during tummy time to motivate them to lift their head. Place a rolled-up towel under your baby’s chest during tummy time to provide added support.

  1. Side-Lying Play

Lay your baby on their non-preferred side (opposite to the head tilt) during playtime. If possible, alternate the side you breastfeed or bottle-feed your baby on.

  1. Parental Involvement

Gently massage your baby’s neck to relax tense muscles. Always consult a healthcare professional or physical therapist for guidance. Hold your baby in a way that encourages them to look in the direction opposite to their head tilt.

  1. Visual Stimulation

Place a baby-safe mirror in front of your baby during tummy time or playtime to spark their curiosity. Also, try hanging a colorful mobile above your baby’s crib or play area to encourage them to look up and turn their head.

  1. Rolling Exercises

Gently assist your baby in rolling over from their back to their tummy and vice versa. Also place a favorite toy just out of reach, motivating your baby to roll and reach for it.

Conclusion

Torticollis in babies is a treatable condition that requires early intervention and a collaborative effort between parents, pediatric orthopedic surgeon, and health professionals.

If you suspect your baby may have torticollis, consult a healthcare provider promptly to initiate appropriate torticollis treatment for baby needs and ensure your baby’s healthy development.

Reference links –

https://www.webmd.com/parenting/baby/what-is-torticollis

https://kidshealth.org/en/parents/torticollis.html

https://www.verywellhealth.com/physical-therapy-for-torticollis-in-children-5208744

https://www.gillettechildrens.org/stories/torticollis-treatment

This is a Torticollis Treatment Blog
The blog is published by 4 Oct, 2023

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FAQ’s

How is torticollis diagnosed in infants?
Best pediatric orthopedic doctor in india typically diagnose torticollis by observing the baby's head position and range of motion. Imaging tests like X-rays or ultrasounds are rarely needed.
Are there any home remedies that can help with torticollis treatment for babies?
Yes, proper positioning during sleep and play, along with incorporating tummy time, can aid in treatment. Consult your healthcare provider for guidance on these techniques.
How long does it take to see improvement with physical therapy?
The timeline for improvement varies for each baby. Some may show progress within a few weeks, while others may take several months. Consistency with exercises is key.
Are there any complications in torticollis if left untreated?
Untreated torticollis can lead to long-term neck muscle tightness, head shape abnormalities, and delayed motor development.

Reviewed and Submitted by Dr. Jitendra Kumar Jain

Last updated on October 4, 2023

Dr.Jitendra Jain, MD and DNB (Orthopedics), president at Trishla Foundation, an NGO for treatment of cerebral palsy, and a Consultant Pediatric Orthopedic Surgeon & Cerebral Palsy Specialist at Trishla Orthopedic Clinic & Rehab Center.
Dr. J. K. Jain is a member of the general council at Dr. SMN university of rehabilitation, Lucknow, a member of the advisory board chief commissioner for PWD, Govt. of India (New Delhi), a member of the state disability research committee (U.P.), and a member of the committee of RCI, New Delhi. He has been awarded many awards, including the Dr.Bhagawan das memorial award, the spirit of humanity award, and the state govt. award for his services towards PWD, etc. Times of India has posted his work many times and mentioned him as one of the best doctors in the field of Pediatric Orthopedics. He helped many children recovering from cerebral palsy, just like comedian jay Chanikara, who is now able to stand and walk without any support, Abena, a Ghana girl with cerebral palsy, and many more. He also organized the National Wheelchair cricket tournament and created World’s first cerebral palsy village foundation in Prayagraj. He successfully treated 10,000+ children with various kinds of orthopedic disability, conducted 160+ free assessment camps, and produced a documentary film on cerebral palsy.

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