Physical Therapy Management of Congenital Muscular Torticollis: A 2024 Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association Academy of Pediatric Physical Therapy.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001114

Barbara Sargent, Colleen Coulter, Jill Cannoy, Sandra L Kaplan

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Abstract

Background: Congenital muscular torticollis (CMT) is a postural condition evident shortly after birth. The 2013 CMT Clinical Practice Guideline (2013 CMT CPG) set standards for the identification, referral, and physical therapy management of infants with CMT, and its implementation resulted in improved clinical outcomes. It was updated in 2018 to reflect current evidence and 7 resources were developed to support implementation. Purpose: This 2024 CMT CPG is intended as a reference document to guide physical therapists, families, health care professionals, educators, and researchers to improve clinical outcomes and health services for children with CMT, as well as to inform the need for continued research. Results/Conclusions: The 2024 CMT CPG addresses: education for prevention, screening, examination and evaluation including recommended outcome measures, consultation with and referral to other health care providers, classification and prognosis, first-choice and evidence-informed supplemental interventions, discontinuation from direct intervention, reassessment and discharge, implementation and compliance recommendations, and research recommendations.

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先天性肌性扭转症的物理治疗管理：美国物理治疗协会儿科物理治疗学会 2024 年循证临床实践指南》。

背景：先天性肌性斜颈（CMT）是一种出生后不久就会出现的姿势性疾病。2013 年《先天性肌肉萎缩症临床实践指南》（2013 CMT CPG）为先天性肌肉萎缩症婴儿的识别、转诊和理疗管理制定了标准，该指南的实施改善了临床结果。该指南于 2018 年进行了更新，以反映当前的证据，并开发了 7 种资源以支持实施。目的：本 2024 CMT CPG 旨在作为一份参考文件，指导物理治疗师、家庭、医疗保健专业人员、教育工作者和研究人员改善 CMT 患儿的临床疗效和医疗服务，并告知继续研究的必要性。结果/结论：2024 年 CMT CPG 涉及：预防教育、筛查、检查和评估（包括推荐的结果测量）、与其他医疗保健提供者的咨询和转诊、分类和预后、首选和循证补充干预、停止直接干预、重新评估和出院、实施和合规建议以及研究建议。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.