Rapid Recovery with Physiotherapy in An Adult with Surgically managed Torticollis and Associated Cervical Myelopathy

Abstract

Torticollis which is a relatively temporary condition rarely seen till adulthood. However, if untreated during childhood may develop complications later which may include musculoskeletal or neurological structures around neck. It may range from contracture of soft tissue to involvement of neural structures. However neurological complications are rare and may require surgical correction. Case description: Here, a 16-year-old male patient who reported physiotherapy department with chief complaint of difficulty in movement of bilateral upper and lower limb difficulty in standing and difficulty in walking independently and breathlessness on exertional activity. Result: After 2 months of physiotherapy treatment berg balance scale score improved from 20/56 to 51/56, dynamic gait index score improved from 10/24 to 15/24, Modified fatigue impact scale score improved from 51/84 to 12/84. Conclusion: Neurological complication of Torticollis in a 16-year-old patient could be reversed partially resulting in functional improvement, with surgery and appropriate Physiotherapy treatment.