Abstract：
OBJECTIVE: The purposes of this pilot study were to compare short-term outcomes of the Perception-Action Approach (P-AA) and standard care based on 5 components of first-choice interventions listed in the congenital muscular torticollis (CMT) clinical practice guideline. Changes in postural alignment, symmetrical use of both sides of the body during movement and play, gross motor development, and behavior observed during therapy were considered.
METHODS: Thirty-two participants were enrolled in a 2-group (P-AA and standard care) randomized, single-blind trial with pre-posttest measures. Participants were infants with CMT, age range 5 to 35 weeks at enrollment. Outcome measures administered at initial and final evaluations included still photography, arthrodial goniometry, Muscle Function Scale, Alberta Infant Motor Scale, and Functional Symmetry Observation Scale. Participants in both groups attended 3 intervention sessions. Their behavior exhibited during therapy was compared using the Therapy Behavior Scale Version 2.2.
RESULTS: Data collection was interrupted by the COVID-19 pandemic lockdown. Twenty-four infants completed the study (10 in P-AA and 14 in the standard care group). There were no significant differences between the groups in performance at initial and final evaluations. Both groups improved on most outcome measures. The P-AA group made greater gains on the Functional Symmetry Observation Scale, and the Therapy Behavior Scale Version 2.2 scores were higher in the P-AA group; however, these results did not reach significance.
CONCLUSIONS: Results suggest that similar short-term outcomes may be obtained in infants with CMT undergoing P-AA and standard care interventions. Definitive conclusions regarding the efficacy of the P-AA in infants with CMT cannot be made at this time. Nevertheless, the pilot findings provide valuable preliminary data for a future efficacy trial, which will require funding.
CONCLUSIONS: This was the first randomized controlled trial to provide evidence for use of P-AA intervention in infants with CMT.
BACKGROUND: Compared to standard treatment, the Perception-Action Approach (P-AA) provided similar short-term benefits to infants with congenital muscular torticollis. The P-AA group participants demonstrated higher symmetry and behavior scores, which needs to be confirmed in a larger future study.
METHODS: Thirty-two participants were enrolled in a 2-group (P-AA and standard care) randomized, single-blind trial with pre-posttest measures. Participants were infants with CMT, age range 5 to 35 weeks at enrollment. Outcome measures administered at initial and final evaluations included still photography, arthrodial goniometry, Muscle Function Scale, Alberta Infant Motor Scale, and Functional Symmetry Observation Scale. Participants in both groups attended 3 intervention sessions. Their behavior exhibited during therapy was compared using the Therapy Behavior Scale Version 2.2.
RESULTS: Data collection was interrupted by the COVID-19 pandemic lockdown. Twenty-four infants completed the study (10 in P-AA and 14 in the standard care group). There were no significant differences between the groups in performance at initial and final evaluations. Both groups improved on most outcome measures. The P-AA group made greater gains on the Functional Symmetry Observation Scale, and the Therapy Behavior Scale Version 2.2 scores were higher in the P-AA group; however, these results did not reach significance.
CONCLUSIONS: Results suggest that similar short-term outcomes may be obtained in infants with CMT undergoing P-AA and standard care interventions. Definitive conclusions regarding the efficacy of the P-AA in infants with CMT cannot be made at this time. Nevertheless, the pilot findings provide valuable preliminary data for a future efficacy trial, which will require funding.
CONCLUSIONS: This was the first randomized controlled trial to provide evidence for use of P-AA intervention in infants with CMT.
BACKGROUND: Compared to standard treatment, the Perception-Action Approach (P-AA) provided similar short-term benefits to infants with congenital muscular torticollis. The P-AA group participants demonstrated higher symmetry and behavior scores, which needs to be confirmed in a larger future study.
摘要：
目的：这项初步研究的目的是根据先天性肌性斜颈（CMT）临床实践指南中列出的5种首选干预措施，比较感知行动方法（P-AA）和标准护理的短期结果。姿势对齐的变化，在运动和玩耍过程中身体两侧的对称使用，电机总发展，并考虑了治疗期间观察到的行为。
方法：32名参与者被纳入2组（P-AA和标准治疗）随机分组，单盲试验与前后测措施。参与者是患有CMT的婴儿，入组时的年龄范围为5~35周.在初步和最终评估中实施的结果措施包括静态摄影，关节测角,肌肉功能量表,艾伯塔省婴儿运动量表，和功能对称性观察量表。两组参与者参加了3次干预会议。使用2.2版治疗行为量表比较了他们在治疗期间表现出的行为。
结果：数据收集因COVID-19大流行封锁而中断。24名婴儿完成了研究（P-AA10名，标准护理组14名）。在初始和最终评估中，两组之间的表现没有显着差异。两组在大多数结果指标上都有所改善。P-AA组在功能对称性观察量表上取得了更大的收益，治疗行为量表2.2版评分在P-AA组中较高；然而，这些结果没有达到意义.
结论：结果表明，接受P-AA和标准护理干预的CMT婴儿可获得相似的短期结局。目前无法得出有关P-AA在CMT婴儿中的疗效的明确结论。然而，试点结果为未来的疗效试验提供了有价值的初步数据，这将需要资金。
结论：这是第一个为CMT婴儿使用P-AA干预提供证据的随机对照试验。
背景：与标准治疗相比，感知行动法(P-AA)对先天性肌性斜颈患儿提供了类似的短期获益.P-AA组参与者表现出更高的对称性和行为得分，这需要在未来更大的研究中得到证实。
方法：32名参与者被纳入2组（P-AA和标准治疗）随机分组，单盲试验与前后测措施。参与者是患有CMT的婴儿，入组时的年龄范围为5~35周.在初步和最终评估中实施的结果措施包括静态摄影，关节测角,肌肉功能量表,艾伯塔省婴儿运动量表，和功能对称性观察量表。两组参与者参加了3次干预会议。使用2.2版治疗行为量表比较了他们在治疗期间表现出的行为。
结果：数据收集因COVID-19大流行封锁而中断。24名婴儿完成了研究（P-AA10名，标准护理组14名）。在初始和最终评估中，两组之间的表现没有显着差异。两组在大多数结果指标上都有所改善。P-AA组在功能对称性观察量表上取得了更大的收益，治疗行为量表2.2版评分在P-AA组中较高；然而，这些结果没有达到意义.
结论：结果表明，接受P-AA和标准护理干预的CMT婴儿可获得相似的短期结局。目前无法得出有关P-AA在CMT婴儿中的疗效的明确结论。然而，试点结果为未来的疗效试验提供了有价值的初步数据，这将需要资金。
结论：这是第一个为CMT婴儿使用P-AA干预提供证据的随机对照试验。
背景：与标准治疗相比，感知行动法(P-AA)对先天性肌性斜颈患儿提供了类似的短期获益.P-AA组参与者表现出更高的对称性和行为得分，这需要在未来更大的研究中得到证实。
