I have been having the same issues for 10 years and have gone to three other PT's. The team in Gaylord not only showed me how to help myself, they were wonderful in their ability to zero in on the problem.
Like many of you reading JMMT, I had always associated the use of manual therapy (MT) interventions with musculoskeletal complaints in adults. Although I have successfully treated orthopaedic problems in some adolescents with MT, until a recent visit to Europe it had never so much as crossed my mind to use this intervention in young children, let alone infants. However, in several Northern European countries, a significant number of our medical and physical therapy colleagues are treating infants, 0-12 months old, with MT interventions based on an etiologic model that links a great number of [non] musculoskeletal signs and symptoms to functional disorders of the upper cervical spine1.
Biedermann1 introduced a two-category diagnostic classification that proposes that birth trauma-induced upper cervical dysfunction has immediate and-–if left untreated--long-term consequences. Proposed signs and symptoms of the Kinetic Imbalance due to Suboccipital Strain (KISS) syndrome include but are not limited to torticollis, frequent vomiting, problems swallowing, scoliosis, plagiocephaly, facial asymmetry, and colic with excessive crying2. The second category of KISS-induced Dyspraxia and Dysgnosia (KIDD) syndrome has been associated with slow development of fine and gross motor skills, poor posture and equilibrium, delayed language development, restlessness, and insecurity in older children2. KISS-syndrome has even been implicated as a causative factor in attention deficit disorder (ADD)3. Biedermann1 proposed impulse manipulation of the upper cervical spine in the direction of sidebending and, at times, rotation as the treatment for both syndromes. He also noted that scientific methods normally used for verification of short-term effects of MT interventions in adults have only limited usefulness in determining the effects of the manipulative treatment of children with KISS- and KIDD-syndrome because these tests fail to capture the long-term interdependencies proposed in his etiologic model1.
We know that the newborn cervical spine is insufficiently able to protect the spinal cord, vessels, nerves, and brain from traction and rotation forces4. Koch5 reported facial and whole-body flushing, diaphoresis, crying, bradycardia, and temporary respiratory arrest in children treated for KISS-syndrome with impulse manipulation. Severe bradycardia was seen more frequently in the group of 1- to 3-month-old infants5. Perhaps relevant even despite the admitted difference in techniques applied, very similar symptoms have been reported in an infant who died after Vojta therapy to correct a congenital torticollis6. The lack of relevant outcome studies2,7, the assertion that the etiologic model does not lend itself to such studies1, and the suggested potential for adverse effects2 has understandably led to a heated debate in multiple countries on the topic of KISS and KIDD-syndrome2,7,8.
At Dynamic Physical Therapy, our physical therapists are the most experienced and educated in physical therapy treatments. We have six locations throughout Northern Michigan in Cadillac, Manistee, Gaylord, Marion, Buckley and Traverse City. We are the most recommended Northern Michigan physical therapy center for back pain. We also specialize in neck pain, knee pain, arm pain and hand pain, and our physical therapists and aides can help relieve your pain in the most effective way possible. For orthopedic treatment and aquatic therapy, rehab for sports related injuries like shoulder injuries and foot injuries, physical therapy for Cerebral Palsy, stroke rehabilitation, therapy for carpal tunnel syndrome, headaches and arthritis relief, and even jaw pain treatment, Dynamic Physical Therapy is the smartest choice for comprehensive physical therapy care and physical rehabiliation services.