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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(4):601-608.
The Correlation between Outcome and Ultrasonographic Findingsin Congenital Muscular Torticollis.
Kim, Sei Joo , Park, Eun Mi , Choi, Won Kee , Seo, Kwan Sik , Yoon, Joon Shik , Lee, Eun Ha
Department of Rehabilitation Medicine, Korea University College of Medicine.
선천성 근성 사경의 흉쇄유양돌기근육 초음파 소견과 치료 결과
김세주, 박은미, 최원기, 서관식, 윤준식, 이은하
고려대학교 의과대학 재활의학교실

The ultrasonographic (US) findings of the sternoocleidomastoid muscles (SCM) in patients with congenital torticollis were studied to evaluate the correlation between the US findings and outcome of physical theraphy.

We studied 52 patients diagnosed as congenital muscular torticollis. We evaluated the thickness, mass, echogenicity and echotexture of both SCM muscles. The US findings of the SCM muscles were divided into 5 grades according to the severity. The physical theraphy included heat theraphy and passive stretching of involved muscle. The outcomes of the treatment were evaluated by physical examination and follow-up US examination.

Neck rotation of lesion site comparing to non-lesion site was improved significantly from 83.0⁑16.5% to 94.9⁑7.16% and lateral flexion from 77.9⁑18.1% to 90.5⁑12.4% after the treatment. In 20 US follow-up cases, thickness ratio of the involved SCM muscle decreased significantly from 177.8⁑46.2% to 158.3⁑83.1%. The therapeutic effect tends to be low with higher grades of the US findings. But, there were no significant statistical correlation between age and treatment outcome.

The US findings of the SCM muscles had a significant correlation with the outcome and the duration of treatment.

Key Words: Congenital muscular torticollis, Ultrasonography, Sternomastoid muscle


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