title: Manual therapy in infantile torticollis: a randomized, controlled pilot study.
abstract: OBJECTIVE
  Torticollis in infancy is routinely treated by child physiotherapists. The addition of manual therapy to the treatment is a new approach in Norway. As the effect of manual therapy for this condition is poorly documented, we designed a pilot study to evaluate measurement methods and examine the short-time effect of manual therapy in addition to child physiotherapy.
  
  
  METHODS
  Randomized controlled trial, double blinded. Thirty-two patients aged 3-6 months were randomized to intervention group (manual therapy and child physiotherapy) and control group (child physiotherapy alone).
  
  
  METHODS
  Change of symptoms because of torticollis evaluated by video recordings.
  
  
  RESULTS
  12 parameters including spontaneous movements, active and passive range of motion and head righting reaction.
  
  
  RESULTS
  We found a nonsignificant tendency to greater improvement in lateral flexion (p = 0.092) and head righting reaction (p = 0.116) in the intervention group.
  
  
  CONCLUSIONS
  In this pilot study, we found that in patients with moderate symptoms related to torticollis, the short-time effect of manual therapy in addition to physiotherapy is not significantly better than physiotherapy alone.
authors.affiliation: Department of Physiotherapy, Akershus University Hospital, Lørenskog, Norway. elsebeth.haugen@ahus.no
authors.forename: Else Beth
authors.initials: EB
authors.lastname: Haugen
authors.forename: JūratėŠaltytė
authors.initials: J
authors.lastname: Benth
authors.forename: Britt
authors.initials: B
authors.lastname: Nakstad
mesh_terms: D003131:Combined Modality Therapy; D004311:Double-Blind Method; D005500:Follow-Up Studies; D019416:Head Movements; D006801:Humans; D007223:Infant; D026201:Musculoskeletal Manipulations / Q000379:methods*; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D013997:Time Factors; D014103:Torticollis / Q000628:therapy*; D016896:Treatment Outcome; D014743:Videotape Recording