The Use of Splinting in Conservative and Post-Operative Treatment of Congenital Muscular Torticollis

Abstract

Standard conservative treatment for infants with congenital muscular torticollis does not consistently resolve lateral head tilt. This paper describes two custom-made neck collars used for this purpose. Indications for use and fabrication, as well as precautions, are discussed. Collars are readily accepted as part of the treatment program and are effective in improving the infant's ability to hold his or her head in midline. In addition, a procedure for splinting following surgery to lengthen the sternocleidomastoid muscle is described.

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Notes on contributors

Carole Jacques

Michael Lepp, PT, is in private practice, Associate Instructor of the Upledger Institute, and Clinical Instructor, Case Western Reserve University School of Dentistry, Cleveland, OH.