The sit-up test: an alternate clinical test for evaluating pediatric torticollis.
The sit-up test, a new evaluation method for differentiating between ocular and orthopaedic torticollis, was evaluated against the monocular occlusion test, using results of three-step testing for standardization. The study group consisted of 31 patients with torticollis between the ages of 4 and 12.5 years. Subjects were selected based only on their ability to cooperate with three-step testing. Three-step testing identified 27 of the 31 patients as having ocular torticollis, with the remaining 4 having an orthopaedic etiology. Sit-up testing correctly identified all 27 ocular torticollis patients, with no false positives or false negatives. Monocular occlusion testing detected at best 22 (81.4%) of the ocular torticollis patients, with no false positives.
Caputo
A R
AR
Newark Eye and Ear Infirmary, United Hospital Medical Center, NJ 07107.
Mickey
K J
KJ
Guo
S
S
Wagner
R S
RS
Reynolds
K
K
DeRespinis
P A
PA
Deluca
J A
JA
D002648:Child; D002675:Child, Preschool; D006801:Humans; D008722:Methods; D015835:Ocular Motility Disorders / Q000175:diagnosis*; D011187:Posture