Torticollis treatment falls within the Occupational Therapy Scope of Practice due to the impact Torticollis can have on daily occupations.
Torticolllis can lead to developmental delays, which makes early intervention key! Depending on the age of the child at the time of referral will depend on the time frame of services. Treatment could range anywhere from 2 months to 10 months. Surgery may be recommended after 6 to 12 months of conservative treatment.
Occupational Therapy Providers use a varitey of exercises, stretches, and home education programs to address torticollis and other conditions that may accompany torticollis, such as plagiocephaly.
Neck Passive Range of MotionActivities as simple as napping on the affected side (supervised), “football” hold, and playing in side lying all address this section of treatment.
Neck and Trunk Active Range of MotionSupported sitting while looking towards affected side, and prone over a ball for active extension.
Development of Symmetrical MovementsMoving arms and legs in diagonal patterns, grabbing toes, and squatting.
Environmental AdaptationsPlacement of books and toys, high chair placement, limiting carrier time, using different positioning devices.
Parent/Caregiver EducationTummy time for at least 1 hour every day, positioning when feeding, sleeping, and playing, and minimizing time in carriers.