Torticollis is a condition in which a child's head appears tilted.
It is typically caused by a tightening or shortening of the neck
muscles. Torticollis often refers to tightness of a specific muscle
which pulls the head sideways toward the shoulder, turns the face
toward the opposite shoulder and brings the head forward on the
chest. Continuously spending time in this position frequently causes
other neck muscles to tighten. Torticollis is also associated with
Plagiocephaly.
Torticollis should be evaluated by a physician to determine the cause
and whether treatment is required. If treatment is necessary, a
referral will be made for physical therapy. A physical therapist
should individually assess the needs of each child and provide
treatment, home exercise and positioning suggestions. For children
with Torticollis, it is important for them to have plenty of
supervised time on their tummy, lying on their side, sitting, and
supported standing. The child's environment should be set up to
promote exploration toward the baby's non-preferred side. and by
minimizing the use of bouncy seats, swings, and other reclined
seating.
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