25/06/2025
For those with an interest in the osteopathic care of infants, this 2025 comprehensive Systematic Review of the Efficacy of Conservative Interventions in children aged 0 to 5 years with Congenital Muscular Torticollis (CMT) -
Thanks to Antares for sharing this paper.
* Was conducted without language or discipline restriction (never done before)
* Searched more than 22 databases and Trial Registers (many more than previous systematic reviews)
* Located and included 100 RCTs and quasi-RCTs (including five RCTs investigating the effects of osteopathic techniques)
* Considered ten specific treatment outcomes including range of neck motion, symmetric head posture and adverse events
* Formed novel meta-analyses (meta-analyses not seen previously in the literature)
* Found low to very low certainty evidence that adding manual therapy to a control intervention may result in a greater improvement in the range of passive cervical rotation, passive cervical lateroflexion, active cervical rotation, thickness of SCM tumour and head tilt
* Importantly, trials involving osteopathic manual therapy contributed to the findings
* The certainty of the evidence was downgraded due to a combination of high risk of bias in studies and study heterogeneity. Many studies were either not well conducted or not well reported (or both)
* Nevertheless, adding manual therapy including osteopathic techniques may help key outcomes in patients aged CMT
See here --