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Torticollis (Overview and Physical Therapy Treatment Techniques)

Torticollis may be multi-faceted but is not always difficult to treat. Corrections: 6:08 - R rotation with L sidebend = plagiocephally on posterior R skull (I'm physically tapping my R side with finger tips but verbalized L side were my palm is). 16:35 - Misspoke: Hypertonicity "ISN'T" velocity dependent (I accidentally said "IS") (Spasticity is the velocity dependent resistance through passive ROM). Note: during the stretches, I am not using a considerable amount of force at any point. In fact, I only take the child gently into end-range and then I stabilize them there to induce a stretch. If the child is resisting the stretch, they will be strengthening the side of the neck they are resisting with thus further shorten the length of that corresponding musculature. As such, "fighting" a resistant child during a stretch of the short side will lead to further exacerbation of their torticollis via strengthening/shortening a side that's already short. Using this same logic though, for a child that is hyper resistant to physical contact and stretching, perhaps consider this technique contralaterally to strengthen/shorten the elongated side. For a 5-minute guide on therapeutic interventions for torticollis, check out my other video:    • 5 Minutes of Torticollis Interventions!   *************************************************************** This video was made for the purposes of providing guidance to newer pediatric physical therapists and is meant to be coupled with their own clinical decision making and judgment. Given the implications of different medical conditions, the education and techniques used in this video may not be entirely applicable for every patient and should not be used if contraindications are present. Copyright, Liability Waiver and Disclaimers. All rights reserved. This publication may not be reproduced in any part, transmitted in any form, or stored in a retrieval system except under the express written permission of Warren McAdams, PT, DPT as permitted under the United States Copyright Act. Information provided is for the guidance of licensed physical therapists only and is not meant to supplement a formal physical therapy evaluation or physician visit. Seek consult from your appropriate health care provider for questions pertaining to your medical concerns. Warren McAdams will not be liable for any injuries or damages resulting from advice and/or treatment strategies presented in this video thus will not be liable for any consequential, direct or indirect, incidental, or punitive damages or harm arising out of access to or the use of any content. #physicaltherapy #education #training #rehab #torticollis