Pediatric Rehabilitation - Torticollis and Plagiocephaly Program

St. Cloud Hospital’s Pediatric Rehabilitation team works as part of the Cleft & Craniofacial Center – an affiliate of the CentraCare Health System to treat children with torticollis, plagiocephaly and other cranial asymmetries. We believe that each child is unique and deserves specialized and comprehensive care.

What is torticollis? Torticollis literally means "twisted neck." While there are many causes of torticollis, the most common is a muscular condition, in which there is tightness and/or weakness in the muscles of the neck, causing a child to hold their head in a tilted or twisted position. What is plagiocephaly? Plagiocephaly ("flattened head syndrome") is used to describe an abnormal head shape where the back of the head is flattened on one side. This will often lead to a forward shift of the ear and face on that side as well.

Other Cranial Asymmetries
Brachiocephaly is used to describe a head shape that is disproportionately wide, while scaphocephaly describes a head shape that is disproportionately long or narrow.

The incidence of these conditions has increased significantly during the past ten years as children spend more time on their backs. The key to successful treatment is early intervention.

Torticollis	Plagiocephaly	Brachiocephaly	Scaphocephaly

Treatments

• Muscle relaxation
• Stretching and range of motion
• Repositioning techniques
• Strengthening techniques
• Soft cervical collar
• Tubular Orthosis for Torticollis (TOT collar)
• Kinesio tape and/or other muscle reeducation techniques
• Cranial remolding orthosis (helmet)

Home programming/parent education is an important part of every child's therapy.

Evaluation
A physical therapist evaluates each child and works with their family to determine the best treatment plan. This may include referral to other members of the Cleft & Craniofacial Center team.

Referrals
All you need is an order from your doctor, doctor’s assistant or nurse practitioner. To set up your initial appointment, please call 320-229-4976 or 800-835-6652.