ArticleDiagnostics (Basel, Switzerland)2019
Changes in Muscle Stiffness in Infants with Congenital Muscular Torticollis.
Article in Diagnostics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Characterizing Musculoskeletal Tissue Mechanics Based on Shear Wave Propagation: A Systematic Review of Current Methods and Reported Measurements.Annals of biomedical engineering · 2022Pooled it
- Understanding factors related to application of traditional Chinese medicine tuina for congenital muscular torticollis in children: a qualitative study based on traditional Chinese medicine tuina practitioners.BMC complementary medicine and therapies · 2026Article
- Evaluating the Accuracy, Usefulness, and Safety of ChatGPT for Caregivers Seeking Information on Congenital Muscular Torticollis.Healthcare (Basel, Switzerland) · 2026Article
- Effectiveness of exercise therapy combined with traditional Chinese tuina manipulation in infants with congenital muscular torticollis: a randomized controlled trial.Frontiers in pediatrics · 2026Article
- Efficacy and safety analysis of massage and medium-frequency electrotherapy in the treatment of congenital muscular torticollis in infants.Frontiers in pediatrics · 2025Article
- Effect of Pediatric Physical Therapy Interventions on Congenital Muscular Torticollis: A Systematic Review.Cureus · 2024Review
- Muscle texture features on preoperative MRI for diagnosis and assessment of severity of congenital muscular torticollis.Journal of orthopaedic surgery and research · 2024Article
- Factors Influencing the Duration of Rehabilitation in Infants with Torticollis-A Pilot Study.Medicina (Kaunas, Lithuania) · 2024Article
- Effectiveness of the Treatment of Physiotherapy in the Congenital Muscular Torticollis: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Factors influencing and long-term effects of manual myotomy phenomenon during physiotherapy for congenital muscular torticollis.BMC musculoskeletal disorders · 2022Article
- Effect of massage therapy on infants with congenital muscular torticollis: A retrospective comparative study.Frontiers in pediatrics · 2022Article
- Is Longstanding Congenital Muscular Torticollis Provoking Pelvic Malalignment Syndrome?Children (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Congenital muscular torticollis (CMT) results from unilateral shortening of the sternocleidomastoid (SCM) muscle, usually associated with a fibrotic mass. Although CMT may resolve with physical therapy, some cases persist, resulting in long-term musculoskeletal problems. It is therefore helpful to be able to monitor and predict the outcomes of physical therapy. Shear-wave velocity (SWV) determined by acoustic radiation force impulse (ARFI) elastography can provide a quantitative measure of muscle stiffness. We therefore measured SCM SWV in 22 infants with unilateral CMT before and after 3 months of physical therapy and evaluated the relationships between SWV and SCM thickness and various clinical features, including cervical range of motion (ROM). SWV was initially higher and the ROM was smaller in affected muscles before physical therapy. SWV decreased significantly (2.33 ± 0.47 to 1.56 ± 0.63 m/s, p < 0.001), indicating reduced stiffness, and muscle thickness also decreased after physical therapy (15.64 ± 5.24 to 11.36 ± 5.71 mm, p < 0.001), both in line with increased neck ROM of rotation (64.77 ± 18.87 to 87.27 ± 6.31°, p < 0.001) and lateral flexion (37.50 ± 11.31 to 53.64 ± 9.41°, p < 0.001). However, the improved ROM more closely reflected the changes in SWV than in muscle thickness. These results suggest that a change in SWV detected by ARFI elastography could help to predict improvements in clinical outcomes, such as stiffness-related loss of motion, in patients with CMT undergoing physical therapy.
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