Congenital Muscular Torticollis and the Orthotic Management of Cranial Asymmetry


This two hour introductory level course for PT/PTA, OT/OTA, RN, Case Managers and other health care professionals offers a brief review of congenital muscular torticollis (CMT) and cranial asymmetry (CA) for the infant population. The intent is to have the therapist participant better understand the relationship between CMT, CA and developmental milestones. The use of cranial remolding orthoses in this population is also addressed. Knowing when to monitor an infant and when to refer them to other medical professionals requires an ability to recognize CMT, identify early CA and distinguish it from craniosynostosis as well as diagnose improvement or worsening of head asymmetry. The course highlights the importance of establishing an interdisciplinary craniofacial team comprised of several skilled health care providers with experience evaluating and treating infants with CA and CMT. It will aid in early identification and choosing treatment interventions which ultimately provides patients in the community optimal care.

Course Syllabus

Course Handout

Course Objectives

Upon completion of this program, participants should be able to:

  • Identify the relationship between congenital muscular torticollis (CMT), cranial asymmetry (CA) and the impact of cranial remolding orthoses (CROs)
  • Complete a thorough evaluation of an infant utilizing objective measures
  • Compare the relationship between CMT, CA, and developmental milestones
  • Recognize the importance of referring patients to the appropriate healthcare professionals when goals are not being met with conservative management
  • Discuss the benefits of creating an interdisciplinary team approach

AOTA Classification Codes

  • Domain of OT: Client Factors
  • OT Process: Evaluation and Intervention

Hanger Clinic is an AOTA approved provider of occupational therapy continuing education. This course has been approved for 2.0 CE Contact Hours. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA APP No: 8417.