TAMO Therapy Versus Postural Control Exercise in Children With Congenital Muscular Torticollis

Study Overview
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Brief Summary
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A randomized control trial was conducted through convenient sampling. 18 subjects were randomly allocated into two groups, group A received postural control exercises in addition to conventional therapy, while Group B received TAMO therapy along with conventional therapy. analysis.

Detailed Description
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Torticollis is common in children and can be congenital or acquired. Acquired cases can result from neck muscles or bone injuries. Though distressing for parents, it usually improves over time. Treatment includes postural control exercise and TAMO therapy, along with conventional treatment. To compare the effects of TAMO therapy versus postural control exercises on children with congenital muscular torticollis on cervical range of motion. A randomized control trial was conducted through convenient sampling. Eighteen subjects were randomly allocated into two groups; Group A received postural control exercises in addition to conventional therapy, while group B received TAMO therapy along with conventional therapy. The duration of the treatment was eight weeks. Goniometer, still photography, muscle function. Eighteen participants (n=18) were included in the study.

Official Title
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Effect Of Postural Control Exercise Versus¬¬ Tscharnuter Akademie For Motor Organization (TAMO) Therapy On Range Of Motion And Motor Function In Children With Congenital Muscular Torticollis

Conditions
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Torticollis Congenital

Intervention / Treatment
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* Behavioral: TAMO
* Behavioral: Postural Control exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Greater than 3 months Both genders Abnormal neck posture Torticollis of both sides Exclusion Criteria: SCM mass present Deficit in cervical PROM greater than 15 degree Craniosynostosis (it is a birth defect in which the bones in a baby skull join together too early) Infectious Metabolic Scoliosis of spine Developmental plagiocephaly SCM tumor Visual disorder

Ages Eligible for Study
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Minimum Age: 3 Months
Maximum Age: 6 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: The TAMO therapy<br>For four months, TAMO therapy will last 30 minutes every day, twice a week. The therapist first applies light loading for a short period of time to his left hemiocciput directed toward the supporting surface. | Behavioral: TAMO<br>* TAMO therapy<br>|
| Experimental: Postural Control exercises<br>For four months, posture control exercises will be taught twice a week for 30 minutes each time. Under the age of 3 months, infants were required to shift their chin as far to the affected side and upward in the supine or dominant prone posture before they could regulate their neck. Instead of passively adjusting the newborns' heads, we waited for them to actively turn toward their midline. | Behavioral: Postural Control exercises<br>* Postural Control exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goniometer | It measured cervical range of motion. | Readings were taken at baseline and four months of intervention | 
| Muscle function Scale: | MFS is a tool used to check the function of the lateral flexors, a scale of 0 to 5, with higher scores indicating better function of muscles.Readings were taken at baseline and after four months of intervention of the neck in children, | Readings were taken at baseline and four months of intervention |