Torticollis

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Torticollis is a condition causing asymmetrical head or neck position due to a problem in the neck muscles.Torticollis, also known as wry neck, is a dystonic condition defined by an abnormal, asymmetrical head or neck position, which may be due to a variety of causes. The term torticollis is derived from the Latin words tortus for twisted and collum for neck.

causes:-

1. The cause is likely from the baby’s position in the uterus which leads to injury to the neck muscles.

2. Acquired torticollis may be caused by irritation to the cervical ligaments from a viral infection,

3.injury, or vigorous movement.Osseous

4.Additional causes may include:

1.Sleeping in an awkward position.Osseous

2.Traumatic

3.CNS/PNS

4.Ocular

5.Non-muscular soft tissue

6.Spasmodic

7.Drug induced

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types-

1.laterocollis : the head is tipped toward the shoulder,

2.rotational torticollis : the head rotates along the longitudinal axis,

3.anterocollis : forward flexion of the head and neck,

4.retrocollis : hyperextension of head and neck backward.

sign and symptom—

  1. Neck pain
  2. Occasional formation of a mass
  3. Thickened or tight sternocleidomastoid muscle
  4. Tenderness on the cervical spine
  5. Tremor in head
  6. Unequal shoulder heights
  7. Decreased neck movement

Anatomy of torticollis —

The underlying anatomical distortion causing torticollis is a shortened sternocleidomastoid muscle. This is the muscle of the neck that originates at the sternum and clavicle and inserts on the mastoid process of the temporal bone on the same side.There are two sternocleidomastoid muscles in the human body and when they both contract, the neck is flexed. The main blood supply for these muscles come from the occipital artery, superior thyroid artery, transverse scapular artery and transverse cervical artery. The main innervation to these muscles is from cranial nerve XI (the accessory nerve) but the second, third and fourth cervical nerves are also involved. Pathologies in these blood and nerve supplies can lead to torticollis.

treatment—

physiotherapy:–

Physical therapy is an option for treating torticollis in a non-invasive and cost-effective manner.

  1. Stretching the neck and trunk muscles actively. Parents can help promote this stretching at home with infant positioning. For example, prone positioning will encourage the child to lift their chin off the ground, thereby strengthening their bilateral neck and spine extensor muscles, and stretching their neck flexor muscles. Active rotation exercises in supine, sitting or prone position by using toys, lights and sounds to attract infant’s attention to turn neck and look toward the non-affected side.
  2. Stretching the muscle in a prone position passively.passive stretching is manual, and does not include infant involvement. Two people can be involved in these stretches, one person stabilizing the infant while the other holds the head and slowly brings it through the available range of motion. Passive stretching should not be painful to the child, and should be stopped if the child resists. Also, discontinue the stretch if changes in breathing or circulation are seen or felt.
  3. Stretching the muscle in a lateral position supported by a pillow (have infant lie on the side with the neck supported by pillow). Affected side should be against the pillow to deviate the neck towards the non-affected side.
  4. Environmental adaptations can control posture in strollers, car seats and swings (using U-shaped neck pillow or blankets to hold neck in neutral position)
  5. Passive cervical rotation (much like stretching when being supported by a pillow, have affected side down)
  6. Position infant in the crib with affected side by the wall so they must turn to the non-affected side to face out

Other treatments include:—

  1. Rest and analgesics for acute cases
  2. Diazepam or other muscle relaxants
  3. Botulinum toxin
  4. Encouraging active movements for children 6–8 months of age
  5. Ultrasound diathermy

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junk food vs health

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containt:- 1)defination
2)origin of junk food
3)history
4)national junk food day
5)junkfood vs health

defination:– food that is high in calories but low in nutritional content food that is high in calories but low in nutritional content.
It is something that is appealing or enjoyable but of little or no real value
origin of junk food:-
the term junk was originated in1950s , although its coinage has been credited to Michael F. Jacobson of the Center for Science in the Public Interest, in 1972s Dr. bready in an article called “mrs.H named it as cheat food“.he term cheat food can be traced back in newspaper mentions to at least 1916.
history:-
The history of junk food is a largely American tale: It has been around for hundreds of years, in many parts of the world, but no one has done a better job inventing so many varieties of it, branding it, mass-producing it, making people rich off it and, of course, eating it.

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national junk food day :-
America also celebrates an annual National Junk Food Day on July 21. Origins are unclear; it is one of around 175 US food and drink days, most created by “people who want to sell more food”, at times aided by elected officials at the request of a trade association or commodity group.] “In honor of the day,” Time in 2014 published, “5 Crazy Junk Food Combinations”. Headlines from other national and local media coverage include: “Celebrate National Junk Food Day With… Beer-Flavored Oreos?” “National Junk Food Day: Pick your favorite unhealthy treats in this poll” (Baltimore);[32] “Celebrities’ favorite junk food” (Los Angeles”A Nutritionist’s Guide to National Junk Food Day” with “Rules for Splurgin
in develping countary like India also stared following this trend .

it is more junk than a food

junkfood vs health :-
The health problems that junk food can cause affect every part of your body. It can lead to brain damage in children and cause serious conditions like fatty liver syndrome in adults. So saying no to junk food is not a choice anymore. It is something you should do if you want to live a healthy life.

Here are some of the serious health problems of junk food that you should be aware of.
obesity- Junk food contains trans fats that is almost impossible to lose without extensive work out. Most of us do not work out and thus never lose the permanent trans fats that we accumulate while enjoying junk food.

Fatigue Junk food may make you feel full but you will always be tired. This is because fast food has no nutrients in it. Your body is getting empty calories but no nutrition. This makes you fatigued and lazy.

Unhealthy For Heart Trans fats present in junk food clog up your arteries and cause heart diseases. It is not unheard of for 30-year-olds to have heart attacks these days. This is because of eating junk food.

Affects Your Kidneys Junk food is often salty and high on sodium. This extra sodium affects the sodium-potassium balance in your body and in turn damages your kidneys.

Chances Of Diabetes Eating junk food causes sudden fluctuations in your blood sugar level. That is why junk food is one of the bad lifestyle choices that pushes you towards getting diabetes type 2.

Makes Your Brain Slow The bad fats from junk food get stored in your brain. This insulates your brain to the nerve signals, thus making you slow. This is one of the reasons for obese children being slow learners.

Causes Fatty Liver The extra fat that you gain from eating junk food gets deposited over your liver. This is called the fatty liver syndrome. You are unable to digest anything as your liver function gets affected.

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