Informing the Update to the Physical Therapy Management of Congenital Muscular Torticollis Evidence-Based Clinical Practice Guideline.

The review did not find studies that informed diagnosis, so it could not update diagnostic recommendations. Database searching did not retrieve every relevant reference, although manual reference checking was used. The post-surgical intervention finding came from two children who received many treatments at once, so it does not show the effect of PT alone. The evidence for microcurrent and kinesiology taping was limited, and the review said further research is needed. Motor outcome findings came from different populations and measures, so they do not establish a consistent long-term developmental risk.

The authors declared no conflict of interest. The article is listed as supported by NIH extramural research.

Do not conclude that microcurrent should replace exercise or that kinesiology taping is useless for every child. The microcurrent trial added it to therapeutic exercise and ultrasound, so its standalone effect was not tested, and the taping trials showed no clear added benefit for most outcomes while one study found immediate strength symmetry changes.