There are a number of studies which demonstrate excellent results with the initiation of physiotherapy at an early age. These studies demonstrate the most important factors impacting on how quickly the torticollis improves and resolves include: the type of torticollis, the severity of restriction in movement and the age of referral for physiotherapy.
In general, the earlier the baby is referred to physiotherapy, the better the outcome. Physiotherapy can help torticollis by stretching the tight muscle. The physiotherapist will work with the parents to develop a home program of gentle stretching exercises and ideas for play and positioning.
In babies over six months, strengthening exercises may also be included to assist the baby to develop their ability to hold their neck upright. This home program is best incorporated into the baby’s daily routine of nappy changes, feeding, sleep and play time. The gentle stretching exercises should not be painful or upsetting for the baby.