Abstract：
To systematically review current evidence on the physical therapy assessment, intervention, and prognosis of congenital muscular torticollis (CMT) to inform the update to the 2018 CMT Clinical Practice Guideline (CPG).
Six databases were searched for studies that informed assessment, intervention, and prognosis for physical therapy management of infants with CMT.
Fifteen studies were included. Four studies investigated the psychometric properties of new and established assessments. Six studies informed the feasibility and efficacy of first-choice and supplemental interventions including traditional Chinese medicine and neural and visceral manipulation. One qualitative study found that parents of infants with mild and severe CMT had different concerns. Five studies informed prognosis, including factors associated with treatment duration, clinical outcomes, and use of supplemental interventions.
Newer evidence reaffirms 5 of 17 recommendations of the 2018 CMT CPG and could increase the recommendation strength to strong for neck passive range of motion.
Six databases were searched for studies that informed assessment, intervention, and prognosis for physical therapy management of infants with CMT.
Fifteen studies were included. Four studies investigated the psychometric properties of new and established assessments. Six studies informed the feasibility and efficacy of first-choice and supplemental interventions including traditional Chinese medicine and neural and visceral manipulation. One qualitative study found that parents of infants with mild and severe CMT had different concerns. Five studies informed prognosis, including factors associated with treatment duration, clinical outcomes, and use of supplemental interventions.
Newer evidence reaffirms 5 of 17 recommendations of the 2018 CMT CPG and could increase the recommendation strength to strong for neck passive range of motion.
摘要：
目的：系统回顾目前关于物理治疗评估的证据，干预，和先天性肌性斜颈（CMT）的预后，以告知2018年CMT临床实践指南（CPG）的更新。
方法：搜索了六个数据库中的研究，干预，CMT婴儿物理治疗管理的预后。
结果：共纳入15项研究。四项研究调查了新的和既定的评估的心理测量特性。六项研究告知了首选和补充干预措施的可行性和有效性，包括中药和神经和内脏操作。一项定性研究发现，患有轻度和重度CMT的婴儿的父母有不同的担忧。五项研究告知预后，包括与治疗持续时间相关的因素，临床结果，以及使用补充干预措施。
结论：较新的证据重申了2018年CMTCPG的17项建议中的5项，并可能增加颈部被动运动范围的建议强度。
方法：搜索了六个数据库中的研究，干预，CMT婴儿物理治疗管理的预后。
结果：共纳入15项研究。四项研究调查了新的和既定的评估的心理测量特性。六项研究告知了首选和补充干预措施的可行性和有效性，包括中药和神经和内脏操作。一项定性研究发现，患有轻度和重度CMT的婴儿的父母有不同的担忧。五项研究告知预后，包括与治疗持续时间相关的因素，临床结果，以及使用补充干预措施。
结论：较新的证据重申了2018年CMTCPG的17项建议中的5项，并可能增加颈部被动运动范围的建议强度。
