Exam Preview

Progressive Topics of Torticollis for the Occupational Therapist

---

1.  Torticollis is formally defined and named by: Ipsilateral (same side) head tilt and ipsilateral (same side) head rotation Ipsilateral head tilt (same side) and contralateral (opposite side) head rotation Contralateral head tilt (opposite side) and ipsilateral (same side) head rotation Contralateral (opposite side) head tilt and contralateral (opposite side) head rotation

2.  A 9-month-old infant demonstrates right torticollis. During sitting, the infant is observed to lean mildly to the right and displays a preference to swat at toys with his left hand. Without intervention, this infant is likely to be: Right-handed Left-handed Display no hand dominance Unknown until child is at least 5 years old

3.  What muscle is found to be shortened in torticollis? Sternocleidomastoid Biceps Triceps Subscapularis

4.  A 9-month-old infant is learning to crawl in quadruped. He has right torticollis. He is likely to be seen demonstrating: Persistent head rotation to the right Shortened UE reach length on left side Shortened UE reach length on right side He would be unable to assume quadruped at all

5.  There are key supine key motor milestones seen in the 1-6 month range that are typical of torticollis including all EXCEPT: Good core flexion Poor midline orientation Strong ATNR Asymmetrical movement patterns

6.  A 7-month-old infant with left torticollis is learning to army crawl. She is likely to display a crawling pattern with dominant left UE pull and limited right UE integration. What would be a good first line intervention activity? Place objects on her right side to promote right pivoting Facilitate UE reaching in sitting to promote generalized UE strengthening against gravity Support child in left sidelying to promote active right lateral flexion against gravity All of the above

7.  A 3-month-old infant is playing in prone. She gazes to the left and her head drops towards the ground. When she turns her head to the right, her head remains elevated. You suspect she has: Left torticollis Right torticollis Cervical extensor weakness Trunk extensor weakness

8.  Longer treatment duration for torticollis is associated with: Low birth weight Breech presentation Presence of motor asymmetry All of the above

9.  The first-choice of intervention for torticollis is: Neck passive range of motion Neck and trunk active range of motion Parent/caregiver education Development of symmetrical movement

10.  According to the 2013 Congenital Muscular Torticollis Clinical Practice Guidelines, a follow-up screening of infants is recommended: 1-month post discharge 3-12 months post discharge Preschool age No follow-up is needed