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Acute Juvenile Cervical Torticollis: Prevention
This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.
Lead Author(s):
Dwain M. Daniel, D.C.
How this evidence was rated:
Strength of Recommendation Taxonomy (SORT)
Strength of Recommendation Taxonomy (SORT)
Legend:A = consistent, good quality patient oriented evidence;
B = inconsistent or limited quality patient oriented evidence;
C = consensus, disease oriented evidence, usual practice, expert opinion or case series;
D = all or the preponderance of existing evidence is negative.
For more information on the Strength of Recommendation Taxonomy (SORT), please click here.
Published on
April 15, 2009
Text Size:
A common presentation of acute juvenile cervical torticollis (AJCT) in the chiropractor’s office is a young patient experiencing a painful sternocleidomastoid (SCM) spasm of short duration which usually resolves rapidly after initiation of treatment. Cause of the spasm can be due to an atlantoaxial rotatory fixation (AARF), a potentially serious condition, or muscular and/or ligamentous etiology (1). Although AJCT is a condition that commonly presents in the office, information in the chiropractic and medical literature is grossly lacking. In addition there is a great deal of confusion as to the etiology, risk factors, diagnosis and treatment. For the purpose of this paper cervical dystonia, a poorly understood neurological condition will be excluded (2). All prevention and risk factors noted in this monograph have been assigned a “C” strength of recommendation since all are a result of consensus, practice tradition or very limited observational studies.
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References
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Ref Type: Personal Communication
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Ref Type: Personal Communication