Development in Children Diagnosed With Congenital Muscular Torticollis

NCT ID: NCT06879314

Last Updated: 2025-06-25

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 40 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-03-13
• Study Completion Date: 2025-04-30

Brief Summary

It has been thought that head position may affect the shoulder, rib cage and abdominal muscles, which may have a negative effect on posture control and movement development, sensory-motor coordination and cause retardation in gross motor function. For these reasons, children with congenital muscular torticollis should be evaluated comprehensively in the early period. This study, which was planned to evaluate the motor development and sensory processing of children with torticollis, was designed according to the lack of literature.

Detailed Description

Congenital muscular torticollis (CMT) is a common postural deformity that occurs shortly after birth and is typically characterized by ipsilateral cervical lateral flexion and contralateral cervical rotation due to unilateral shortening of the sternocleidomastoid (SCM) muscle. It is a non-neurological postural disorder that usually affects 3% to 16% of infants. Theories such as intrauterine stenosis, vascular causes, fibrosis of the peripartum hemorrhage area, difficult labor, and primary myopathy of the SCM muscle have been put forward for its causes. In tissue samples taken after surgery, edema, degeneration of muscle fibers, and fibrosis have been reported. It is thought that CMT affects the muscles as well as head and facial development, causing various asymmetries, delays in gross motor functions, and disorders in posture and balance control. A bent neck position can cause plagiocephaly. Characteristic craniofacial deformities include asymmetry in the brow and cheekbones, deviation of the chin and nose tip, inferior orbital abnormality on the affected side, asymmetry in ear placement, and shortening of the vertical dimension of the ipsilateral face. In later periods, it has been shown that it may cause asymmetry in the use of the upper extremities, delay in gross motor functions, and effects on posture and balance control in children. It is thought that head position may affect the shoulder, rib cage, and abdominal muscles, which may have a negative effect on posture control and movement development, sensory-motor coordination, and cause gross motor function retardation. For these reasons, children with congenital muscular torticollis should be evaluated comprehensively in the early period. This study, which was planned to evaluate the motor development and sensory processing of children with CMT, was designed according to the lack of literature.

Conditions

Torticollis Congenital; Motor Development; Sensory Integration Dysfunction

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

torticollis

Twenty children with congenital muscular torticollis diagnosis, between 0-12 months of age, with parental consent, without any vision or hearing problems, will be included in the study.

No interventions assigned to this group

Healthy infants

A control group of 20 healthy children without congenital muscular torticollis will be formed.

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Infants diagnosed with congenital torticollis between 0-12 months of age,
• with parental consent,

Exclusion Criteria

• Children with chromosomal abnormalities,
• serious congenital problems,
• vision-hearing problem
• children whose parents do not volunteer for the study will not be included in the study.

• Minimum Eligible Age: 1 Month
• Maximum Eligible Age: 12 Months
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Gazi University

OTHER

Sponsor Role: lead

Responsible Party

Rabia ZORLULAR

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Rabia ZORLULAR

Role: PRINCIPAL_INVESTIGATOR

Gazi University

Locations

Gazi University

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

DeGangi, G.A. and S.I. Greenspan, Test of sensory functions in infants (TSFI). 1989: Western Psychological Services Los Angeles

Reference Type: BACKGROUND

Folio, M.R. and R.R. Fewell, Peabody developmental motor scales and activity cards. 1983: DLM Teaching

Reference Type: BACKGROUND

Ohman A, Nilsson S, Lagerkvist AL, Beckung E. Are infants with torticollis at risk of a delay in early motor milestones compared with a control group of healthy infants? Dev Med Child Neurol. 2009 Jul;51(7):545-50. doi: 10.1111/j.1469-8749.2008.03195.x. Epub 2009 Jan 26.

Reference Type: BACKGROUND

PMID: 19191832 (View on PubMed)

Zorlular R, Burak SE, Beyoglu R, Elbasan B. Motor development and sensory processing skills in infants with congenital muscular torticollis: a cross-sectional study. Eur J Pediatr. 2025 Sep 23;184(10):630. doi: 10.1007/s00431-025-06457-2.

Reference Type: DERIVED

PMID: 40986093 (View on PubMed)

Other Identifiers

torticollis RZ

Identifier Type: -

Identifier Source: org_study_id