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Massage for infants of 32 cases of congenital muscular torticollis

Rotation to the contralateral side,[link widoczny dla zalogowanych], turned to the contralateral shoulder jaw, in the middle of palpable ipsilateral sternocleidomastoid different hardness, different size lumps, the lumps at the no pain, can not stay active, and subcutaneous separation. The disease is a Chinese medicine 1O a month since 1995 in May 2003, the author manipulation therapy for infants with congenital muscular torticollis, good effect, are summarized below. 1 clinical data in accordance with the 18 patients were male, female 14 cases; those who are oldest is 8 months, 20 days for the smallest; of which 6 cases of children ranging from large two eyelids, face ipsilateral than contralateral small, more patients were excluded from bone disease , eye disease, inflammation, nerve paralysis caused by torticollis. 2 2.1 rubbing treatment method in children with supine position, the doctor in the interest of children affected side,[link widoczny dla zalogowanych], first with the food in the ring finger rubbing the affected side Quepen at 6-7 times, then press along the sternocleidomastoid knead until Yifeng points, finished 6-7 over the bone hole. 2.2 Pinch twist to mention those who take the forensic use of food in the three-finger thumb pulp, provide lift and children affected side of the sternocleidomastoid tumor site, take the mass of several times, then twisting back and forth up and down several times. 2.3 Pulling hand side pull for the doctor fixed ipsilateral shoulder, the other hand on your head, gently pull hard so that his head close to the contralateral shoulder. Oblique pull children to doctors who single-handedly held onto the lower jaw with one hand and hold on to after the head, face turned to the children suffering from 20 * (total 268) side of the shoulder, each 3-5 times. Finally, another doctor at the children sternocleidomastoid, Anrou several times. El1 times more per treatment, 1 of about 30rain, 10 days for a course of treatment, using talcum powder as the medium to protect children with skin. General treatment of 3 courses. Clinical efficacy of 3 standard 3.1 standard (self) healing for the head and neck be free to both sides of the rotation, the normal range of motion, the first non-skew, and for a long time to maintain the neutral position, the mass disappeared; better: head and neck to the two free side of the rotation, range of motion was normal, the first and sometimes skew, sternocleidomastoid tumor was significantly reduced or removed; invalid: 3 months of treatment in children, no significant improvement in symptoms and signs. 3.2 The treatment results of 24 cases cured, the effective rate was 75%; improved in 8 cases, the effective rate of 25%, total effective rate was 100%. 4 patients with typical cases, male, 3 months, in July 2002 8El treatment. Proctor found his mother left children with head twisted to the left with a neck mass in the left eyelid slightly smaller than the right eyelid, left face smaller. Parents take children to hospital surgical treatment, a diagnosis of congenital muscular torticollis, transferred to our department for treatment. Examination: children head to the left, face to the right, mandibular inclination right shoulder. The left sternocleidomastoid muscle tension,[link widoczny dla zalogowanych], about the middle of a palpable mass the size of 2em × 2em, hard, limited neck mobility. 15 days of treatment with the above method, the mass becomes smaller, to continue treatment, 3 months after treatment, tumors disappeared, comfortable neck, facial symmetry, followed six months without recurrence. : Bear lj5 Experience 5.1 congenital muscular torticollis, the reasons unclear, some people believe that birth trauma or congenital form in the mother, regardless of what causes congenital muscular torticollis, the earlier the treatment time, the cure rate higher. 5.2 babies delicate skin, doctor practices to be skilled, be gentle gentle and rough cut. 5.3 Law rubbing method can promote blood circulation, ease muscle contracture, put squeeze twist around the lump to take France to speed up the spin-off organizations in order to achieve the role of Endometriosis. Pulling can sternocleidomastoid elongation, release spasms and adhesions, improved neck mobility and recovery. 5.4 The doctor can teach parents of children with some simple techniques, parents at home, anytime, anywhere to treat children or children restored to create a conducive environment. For example: For the younger age, shorter duration, obviously torticollis,[link widoczny dla zalogowanych], should the parents will urge their children to sleep when lying in its place a head on each side of the sandbags the right size,[link widoczny dla zalogowanych], forcing children to keep the head in neutral position for the treatment and prevention of their sternocleidomastoid contracture. Parents at home, you can use the pull method several times a day to treat patients. Breastfeeding when the ipsilateral sternocleidomastoid muscle to try to keep children under traction. 5.5 Some parents think that younger children, not suitable for massage, afraid of hurting the child. Physicians should try to do ideological work of parents of children, from a scientific point of view of the benefits of early treatment. A longer disease course, treatment should not too quickly, doctors must have the patience, parents need to persevere.