Case Report
Year: 2020 | Month: July-September | Volume: 5 | Issue: 3 | Pages: 476-486
Effect of Institutional Based Physiotherapy Protocol on Cervical Active Ranges, Shoulder-To-Neck Posture and Oro-motor Functions in Congenital Muscular Torticollis with Unilateral Upper Limb Arthrogryposis: A Rare Interesting Case Report
Abhijeet Arun Deshmukh
Associate Professor, Department of Neuro-Physiotherapy, VSPM’s College Of Physiotherapy, Digdoh Hills, Hingna, Nagpur Maharashtra, India -440019
ABSTRACT
Introduction: Congenital muscular torticollis (CMT) is a deformity result of unilateral shortening of the sternocleidomastoid muscle. Arthrogryposis Myogenic Congenita (AMC) i.e. amyoplasia is rare combination along with CMT in present case. To date no set protocol for the number of sessions, duration, frequency or dosage of the intervention mentioned and no study report about oro-motor dysfunction in children with CMT.
Material and Methods: A 2year 8month old male child with congenital CMT and right upper limb arthrogryposis was evaluated in high sitting position for cervical active, shoulder neck angle was measured and external auditory meatus to acromion distance was measured. The oromotor dysfunction was evaluated subjectively by structured questionnaire and severity of affection was graded. Follow up evaluation was performed after 2weeks, 4weeks and 8weeks of treatment protocol and data was obtained for comparison.
Data analysis and Results: SPSS version 10.0 was used for analysis. The data were compared first day of evaluation with 2weeks, 4weeks and 8weeks post intervention protocol for cervical active range of motion, ear-to-shoulder distance, and shoulder-neck angle along with grades of severity of oro-motor affection. There was improvement in active cervical ranges as well as shoulder neck angle and ear to shoulder distance reached to symmetry at the end of 8weeks treatment protocol. The oro-motor functions also reached to normal at 8weeks of treatment.
Conclusion: The 8weeks institutional based Physiotherapy treatment protocol was effective in improving active ranges of cervical spine, symmetry in shoulder-to-neck posture as well as improve oro-motor functions to normal.
Keywords: Congenital Muscular Torticollis, arthrogryposis, Goniometry, Physiotherapy, Intervention Protocol, Oro-Motor Function.