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New CPG for Torticollis!

Fetters, Linda

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Pediatric Physical Therapy: October 2018 - Volume 30 - Issue 4 - p 239
doi: 10.1097/PEP.0000000000000547
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The team of Drs Sandra Kaplan, Colleen Coulter, and Barbara Sargent provide us with an update and expanded clinical practice guideline (CPG) for congenital muscular torticollis. Our sincere thanks to this expert team for publishing this update. Dr Kaplan led the team for the original CPG and for this update. We all owe her gratitude and praise for her extraordinary efforts and success! The Academy of Pediatric Physical Therapy supported both the 2013 and 2018 guideline development and is an excellent example of support for best practice for the infants, children, and families we serve. Thank you to the Academy.

The original guideline, published in 2013, is now updated and reflects the current evidence for diagnosis, treatment, and prognosis. The 2018 CPG has evidence on the reliability of use of the severity classification scale, which was a unique feature of the 2013 guide. The use of the classification scale provides evidence for treatment and prognosis and will help determine the relationship between severity and treatment intensity and prognosis.

The CPG has been formatted to enable the separate use of the diagrams for referral flow, classification and decision tree for birth to 12 months, and a summary table of the action statements. These stand-alone documents were reported as useful by clinicians and families from the 2013 CPG and make it easier to educate about the guide and implement the recommendations.

The abstracts are published in the online format for the Academy of Pediatric Physical Therapy Annual Conference 2018, which will be held in Chattanooga, Tennessee from November 19-21. This gives all the opportunity to see what will be presented and who will be presenting at the conference. Many thanks to Charlotte Yates and colleagues for providing these abstracts.

Linda Fetters
Freeport, Maine

© 2018 Academy of Pediatric Physical Therapy of the American Physical Therapy Association