Correlations Between Ultrasonographic Findings of Sternocleidomastoid Muscle and Torticollis Overall Assessment of Congenital Muscular Torticollis in Infants

선천성 근성 사경 환아의 흉쇄유돌근 초음파 소견과 사경종합평가 사이의 상관관계

  • 김용욱 (전주대학교 대체의학대학 물리치료학과) ;
  • 김문환 (연세대학교 원주기독병원 재활의학과) ;
  • 김경모 (차의과학대학교 분당차병원 재활의학과)
  • Received : 2011.01.11
  • Accepted : 2011.04.13
  • Published : 2011.05.28


The purpose of this study was to investigate the correlation between ultrasonographic findings used to diagnose and assess of torticollis and a overall special assessment of congenital muscular torticollis in infants. Seventy-eight subjects with congenital muscular torticollis participated in this study. All the patients were divided into one of four clinical types according to the sternocleidomastoid muscle fibrosis noted on the ultrasonographic findings, and they were divided into one of three subgroups according to the degree of disability on the overall special assessment score of torticollis. For the ultrasonographic classifications of the 78 patients, 42(53.8%) made up the first type, 21 (26.9%) made up the second type, 7 (9.0%) made up the third type, and 8 (10.3%) made up the fourth type. Multivariate analysis of the results showed that the age at presentation was significantly different according to the ultrasonographic subtypes (p<0.01). There was significant correlation between the ultrasonographic findings and the torticollis overall assessment for patients with congenital muscular torticollis (${\phi}$=0.893, p<0.01). According to the results of this study, the use of the simple and objective torticollis overall assessment will be useful for the evaluation of torticollis in the future.


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