My identify is Rosemary Peng, PT, MST. As a clinician who has labored for greater than 20 years in pediatric settings, I’ve seen and handled sufferers with congenital muscular torticollis (CMT).
Rosemary Peng – Treating Torticollis
TORTICOLLIS AND POSITIONAL SKULL DEFORMITIES – WHEN TO TREAT OR REFER
Three sorts: Brachycephaly, plagiocephaly, scaphocephaly
Craniosynostosis
When and the right way to deal with it
When is it time for session with neurosurgery
HOW TO PROPERLY ASSESS A CHILD WITH CMT
Posture
Cervical vary of movement: lively and passive
Muscle perform scale for Infants
Thoracic and lumbar backbone
Muscle flexibility of extremities
Display for developmental hip dysplasia
Pores and skin, facial, and cranium asymmetries
Visible motor abilities: monitoring, presence of nystagmus, midline management
Classification of stage of severity
EXAM LAB
HOW TO BEST TREAT CMT – LOOKING BEYOND THE NECK
Cervical PROM
Addressing different asymmetries beneath the neck
Positioning
Incorporate play into remedy
Strengthening
Addressing imaginative and prescient
Why and the way we deal with high-quality and gross motor abilities
Tummy time challenges
Adapting the setting
Caregiver training
INTERVENTION LAB
OTHER THERAPEUTIC APPROACHES FOR CMT
Microcurrent
Myokinetic stretching
Kinesiological taping
TAMO method
TOT and different collars
Botox
Surgical procedure
EMERGING INTERVENTIONS WITHOUT EVIDENCE OF EFFICACY
Guide remedy/cervical manipulation
Craniosacral remedy
Comfortable tissue therapeutic massage
Feldenkrais
Whole Movement Launch
WHEN TO REFER FOR CONSULTATION
7 Pink flags that point out the necessity for referral to MDs
HOW TO IMPROVE YOUR GOAL WRITING
Symmetrical motion
Motor growth
Mum or dad/caregiver understanding
DISCHARGE PLANNING AND FOLLOW-UP RECOMMENDATIONS
Standards for discharge
Mum or dad/caregiver understanding
Observe-up screening suggestions
CASE EXAMPLES
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Description:
My identify is Rosemary Peng, PT, MST. As a clinician who has labored for greater than 20 years in pediatric settings, I’ve seen and handled sufferers with congenital muscular torticollis (CMT). Up to now, I targeted an excessive amount of of my consideration on treating the neck solely and never checking for different asymmetries that may happen. This resulted in seeing minimal beneficial properties. What was I lacking? There needed to be a greater approach to deal with this inhabitants. Lastly, I found that by together with 7 physique constructions in my examination I might successfully deal with my sufferers by strengthening neck muscle mass, selling higher head posture, and bettering high-quality and gross motor growth of the kid.
On this recording, be taught and apply proof-based mostly instruments discovered within the up to date 2018 Scientific Follow Tips which I take advantage of to precisely assess and deal with infants. You’ll improve your abilities by studying confirmed remedy strategies in addition to different approaches that don’t make your affected person really feel discomfort and leads to higher outcomes. Ease the concern of oldsters or caregivers with clear objectives and training. Stroll away feeling assured and cozy utilizing these confirmed methods that instantly carry over into your medical setting.
