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Kränzlin¹, H.P. Kind² Winterthur¹, Winterthur² Zurich Group for Research in ambulatory Pediatrics (ZAPP)
NEWBORN TORTICOLLIS: PREVALENCE AND THE EFFECT OF CONVENTIONAL TREATMENTS VERSUS MANIPULATIVE INTERVENTIONS
16 pediatric practitioners participated in a field-study collecting epidemiological data on the newborn torticollis and investigating in a controlled case study the efficacy of different types of therapeutical interventions such as specific manipulation versus physiotherapy. A total of 3143 newborns have been registered: out of these 267showed a positive cervical finding and 82 have been referred to the controlled study group. The prevalence of newborn torticollis in the controlled group is 8%. 69% of the cases heal spontaneously or with conventional treatment by the age of 6 months. In the group of the persistent cases, 69% showed an arthrogenic etiology, 28% showed a muscular dysbalance and only 3% were in connection with a muscular contracture. The arthrogenic torticollis is more frequently found in male infants (66%).In the cases with an arthrogenic etiology, the specific mobilisation proved to be a safe and effective form of therapy. In 95% of these cases only one manipulative intervention had to be performed.
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