Investigating the Effectiveness of Mobilization on Congenital Muscular Torticollis and Deformational Plagiocephaly
NCT ID: NCT02403011
Last Updated: 2015-11-09
Study Results
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Basic Information
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UNKNOWN
NA
30 participants
INTERVENTIONAL
2014-01-31
2015-11-30
Brief Summary
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Detailed Description
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Design: A Randomized controlled trial design Setting: University research department Participants:Babies with congenital muscular torticollis, aged between 0-6 months, who had a head tilt from 5 to 20 degrees and no other health problems were the participants of the study. The study included two groups; home program group was seen once every six weeks, the study group in addition to the home program also received soft tissue mobilization three times in a week. All groups received a baseline home program consisting of positioning, handling strategies plus stretching, stretching and strengthening exercises, environmental adaptations and classical massage. Babies were allocated to two groups by sealed envelope randomization. Babies were evaluated initially, at sixth weeks, at 12 weeks and follow-up at 18 weeks with muscle function scale, head tilt and ear shift assessments which included photographing method, neck normal range of motions (lateral flexion and rotation) and plagiocephaly severity scale
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Soft tissue mobilization group
soft tissue mobilization was applied three times in a week and home program exercises were recommended which consisted of positioning the neck and head, handling strategies, stretching exercises, strengthening exercises according to babies neurodevelopmental level and environmental adaptations
soft tissue mobilization
soft tissue mobilization technique has three phases. First phase 'the passive mobilization phase' is applied by gentle but tight gripping of the SKM muscle two or three fingers below the muscle origo and the muscle is mobilized rhythmically in the antero-posterior direction. Secondly, after gently continue to hold the muscle the baby was encouraged to do active repetitive cervical rotation to the affected side by means of catching the babies attention with colored and sonorous toys. Third phase was mobilization with stretching. Caregiver holds the baby on his/ her affected side while the therapist gently grips and withholds the muscle. Therapist mobilizes the muscle in the antero-posterior direction and stretch the muscle
Home program controlled once six weeks
Home program which consisted of positioning the neck and head, handling strategies, stretching exercises, strengthening exercises according to babies neurodevelopmental level and environmental adaptations were recommended
home program controlled once six weeks
Home program which consisted of positioning the neck and head, handling strategies, stretching exercises, strengthening exercises according to babies neurodevelopmental level and environmental adaptations
Interventions
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soft tissue mobilization
soft tissue mobilization technique has three phases. First phase 'the passive mobilization phase' is applied by gentle but tight gripping of the SKM muscle two or three fingers below the muscle origo and the muscle is mobilized rhythmically in the antero-posterior direction. Secondly, after gently continue to hold the muscle the baby was encouraged to do active repetitive cervical rotation to the affected side by means of catching the babies attention with colored and sonorous toys. Third phase was mobilization with stretching. Caregiver holds the baby on his/ her affected side while the therapist gently grips and withholds the muscle. Therapist mobilizes the muscle in the antero-posterior direction and stretch the muscle
home program controlled once six weeks
Home program which consisted of positioning the neck and head, handling strategies, stretching exercises, strengthening exercises according to babies neurodevelopmental level and environmental adaptations
Eligibility Criteria
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Inclusion Criteria
* Head tilt from 5 to 20 degrees
* Age between 0-6 months
Exclusion Criteria
6 Months
ALL
No
Sponsors
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Hacettepe University
OTHER
Responsible Party
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hhotaman
Research Assistant, PhD, PT
Principal Investigators
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Hilal KEKLİCEK, PhD,PT
Role: PRINCIPAL_INVESTIGATOR
Hacettepe University,Faculty of Health Sciences Department of Physiotherapy
Locations
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Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation
Ankara, , Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Ayse KARADUMAN
Role: primary
Other Identifiers
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G014/14
Identifier Type: -
Identifier Source: org_study_id
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