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Abstract：
Congenital muscular torticollis (CMT) is a postural deformity evident shortly after birth, typically characterized by lateral flexion/side bending of the head to one side and cervical rotation/head turning to the opposite side due to unilateral shortening of the sternocleidomastoid muscle; it may be accompanied by other neurological or musculoskeletal conditions. Infants with CMT should be referred to physical therapists to treat these postural asymmetries as soon as they are identified.
This update of the 2013 CMT clinical practice guideline (CPG) informs clinicians and families as to whom to monitor, treat, and/or refer and when and what to treat. It links 17 action statements with explicit levels of critically appraised evidence and expert opinion with recommendations on implementation of the CMT CPG into practice.
The CPG addresses the following: education for prevention; referral; screening; examination and evaluation; prognosis; first-choice and supplemental interventions; consultation; discontinuation from direct intervention; reassessment and discharge; implementation and compliance audits; and research recommendations. Flow sheets for referral paths and classification of CMT severity have been updated.
This update of the 2013 CMT clinical practice guideline (CPG) informs clinicians and families as to whom to monitor, treat, and/or refer and when and what to treat. It links 17 action statements with explicit levels of critically appraised evidence and expert opinion with recommendations on implementation of the CMT CPG into practice.
The CPG addresses the following: education for prevention; referral; screening; examination and evaluation; prognosis; first-choice and supplemental interventions; consultation; discontinuation from direct intervention; reassessment and discharge; implementation and compliance audits; and research recommendations. Flow sheets for referral paths and classification of CMT severity have been updated.
摘要：
先天性肌性斜颈（CMT）是出生后不久出现的体位畸形，通常的特征是由于胸锁乳突肌的单侧缩短而导致头部向一侧的侧向屈曲/侧弯曲和宫颈旋转/头部向另一侧转动；它可能伴有其他神经或肌肉骨骼疾病。患有CMT的婴儿应在确定这些姿势不对称后立即转介给物理治疗师。
2013年CMT临床实践指南（CPG）的更新告知临床医生和家庭对谁进行监测，请客,和/或参考以及何时以及如何治疗。它将17项行动声明与明确的经过严格评估的证据和专家意见联系起来，并建议将CMTCPG付诸实践。
CPG解决以下问题：预防教育；转诊；筛查；检查和评估；预后；首选和补充干预措施；咨询；停止直接干预；重新评估和出院；实施和依从性审核；和研究建议。已更新转诊路径和CMT严重性分类的流程图。
2013年CMT临床实践指南（CPG）的更新告知临床医生和家庭对谁进行监测，请客,和/或参考以及何时以及如何治疗。它将17项行动声明与明确的经过严格评估的证据和专家意见联系起来，并建议将CMTCPG付诸实践。
CPG解决以下问题：预防教育；转诊；筛查；检查和评估；预后；首选和补充干预措施；咨询；停止直接干预；重新评估和出院；实施和依从性审核；和研究建议。已更新转诊路径和CMT严重性分类的流程图。
