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Journal of Chiropractic Medicine logoLink to Journal of Chiropractic Medicine
. 2006;5(2):65–68. doi: 10.1016/S0899-3467(07)60135-9

Chiropractic care of a six-year-old child with congenital torticollis

Jeanne E McWilliams a,*, Carol D Gloar a
PMCID: PMC2647060  PMID: 19674674

Abstract

Objective

To discuss the care of a patient with congenital torticollis who was treated with chiropractic diversified technique and a chiropractic technique proposed by Frogley and Wallace in a previously published article.

Clinical Features

A 6-year-old female suffered from congenital torticollis with a left head-tilt subsequent to a difficult birth that culminated in a Caesarian section. Computerized tomography of the brain revealed plagiocephaly. Left facial asymmetry was demonstrated on visual observation.

Intervention and Outcome

The patient was treated with a chiropractic adjusting protocol as suggested by Frogley and Wallace and by diversified chiropractic technique. She tolerated the care well and experienced substantial changes in clinical presentation including a distinct improvement in head-tilt. The improvement in head-tilt has been maintained for a period of 1 year.

Conclusion

The conservative chiropractic methodology postulated by Frogley and Wallace in the care of headache patients should be investigated further in its use for congenial torticollis. The positive results observed with this patient lead the authors to recommend that additional studies be undertaken to assess whether these clinical observations can be replicated in other cases of congenital torticollis.

Key Indexing Terms: Chiropractic, Torticollis

Footnotes

Sources of support: no external funding was received for this research.

References

  • 1.Frogley HR, Wallace HL. Manipulation for headache patients: a brief introduction of a novel technique. Chiropr Tech. 1998;10:11–18. [Google Scholar]
  • 2.Bolton PS. Torticollis: a review of etiology, pathology, diagnosis and treatment. J Manipulative Physiol Ther. 1985;8:29–32. [PubMed] [Google Scholar]
  • 3.Cheng JCY, Tang SP, Chen TMK. Sternocleidomastoid pseudotumor and congenital muscular torticollis in infants: a prospective study of 510 cases. J Pediatr. 1999;134:712–716. doi: 10.1016/s0022-3476(99)70286-6. [DOI] [PubMed] [Google Scholar]
  • 4.Toto BJ. Chiropractic correction of congenital muscular torticollis. J Manipulative Physiol Ther. 1993;16:556–559. [PubMed] [Google Scholar]
  • 5.Barge FH. Torticollis: the cervical slipped disc syndrome. 2nd ed. Bawden Bros, Inc; Davenport, Iowa: 1984. p. xv. 93. [Google Scholar]
  • 6.Ford PA. Clinical forms of torticollis [dissertation] Anglo-European College of Chiropractic; Bournemouth (UK): 1984. [Google Scholar]
  • 7.Krauss JK, Toups EG, Jankovic J, Grossman RG. Symptomatic and functional outcome of surgical treatment of cervical dystonia. J Neurol Neurosurg Psychiatry. 1997;63:642–648. doi: 10.1136/jnnp.63.5.642. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Raco A, Raimondo AJ, DePonte FS, Brunnelli A, Bristol R, Bottini DJ. Congenital torticollis in association with craniosynostosis. Childs Nerv Syst. 1999;15:163–168. doi: 10.1007/s003810050361. [DOI] [PubMed] [Google Scholar]
  • 9.Kessler KR, Skutta M, Benecke R. Long-term treatment of cervical dystonia with botulinum toxin A: efficacy, safety, and antibody frequency. J Neurol. 1999;246:265–274. doi: 10.1007/s004150050345. [DOI] [PubMed] [Google Scholar]
  • 10.Aker PS, Cassidy JD. Torticollis in infants and children: a report of three cases. J Can Chiropr Assoc. 1990;34:13–19. [Google Scholar]
  • 11.Bussieres A, Cassidy JD, Dzus A. Spinal cord astrocytoma presenting as torticollis and scoliosis. J Manipulative Physiol Ther. 1994;17:113–118. [PubMed] [Google Scholar]
  • 12.Casey ATH, O'Brien M. Don't twist my child's head off: iatrogenic cervical dislocation. Br Med J. 1995;311:1212. doi: 10.1136/bmj.311.7014.1212. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.National Institute of Neurological Disorders and Stroke, Office of Scientific and Health Reports The Dystonias. Dystonias. 1993;91(717):1–9. [Google Scholar]
  • 14.VanHarten PN, Hock HW. Acute dystonia induced by drug treatment. Br Med J. 1999;7210:623. doi: 10.1136/bmj.319.7210.623. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Palmer College of Chiropractic Adjusting Technique Manual. Palmer College of Chiropractic; Davenport, Iowa: 1998. Palmer College of Chiropractic Technique Department. [Google Scholar]

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