The purpose of this study was to examine the effects of providing a standardized screening examination to a group of attending and resident physicians on the rate of torticollis and plagiocephaly diagnoses, the age at time of diagnosis, and the attitudes and practice patterns of the physicians. All subjects were given a standardized screening procedure by verbal instruction and handout, and also completed a pre-‐ and post-‐intervention questionnaire, which assessed the practice regarding the diagnosis and management of torticollis and plagiocephaly. A retrospective chart review was conducted to ascertain the changes in frequency and mean age of patients diagnosed by subjects over the 6-‐month intervention period compared to the previous 3 years. Pediatric residents reported significant increases in their frequency of diagnosing torticollis and plagiocephaly, their comfort level in screening for these diagnoses, and their frequency of referral to physical therapy for torticollis. Attending pediatricians reported significant increases in their diagnosis of plagiocephaly only. There was a significant increase in the percent of patients diagnosed with plagiocephaly at one of the six clinics during the intervention year. There was a significant decrease in the age at the time of diagnosis of torticollis patients at one of the six clinics during the intervention year.
","abstract_html":"<p>The purpose of this study was to examine the effects of providing a standardized screening examination to a group of attending and resident physicians on the rate of torticollis and plagiocephaly diagnoses, the age at time of diagnosis, and the attitudes and practice patterns of the physicians. All subjects were given a standardized screening procedure by verbal instruction and handout, and also completed a pre-‐ and post-‐intervention questionnaire, which assessed the practice regarding the diagnosis and management of torticollis and plagiocephaly. A retrospective chart review was conducted to ascertain the changes in frequency and mean age of patients diagnosed by subjects over the 6-‐month intervention period compared to the previous 3 years. Pediatric residents reported significant increases in their frequency of diagnosing torticollis and plagiocephaly, their comfort level in screening for these diagnoses, and their frequency of referral to physical therapy for torticollis. Attending pediatricians reported significant increases in their diagnosis of plagiocephaly only. There was a significant increase in the percent of patients diagnosed with plagiocephaly at one of the six clinics during the intervention year. There was a significant decrease in the age at the time of diagnosis of torticollis patients at one of the six clinics during the intervention year.</p>","abstract_has_math":false,"creators":["Hwang, Lisa Ann Change-Yee"],"institution":null,"degree_name":"Doctor of Science (DSc)","degree_level":"Dissertation","degree_discipline":"Physical Therapy","degree_department":null,"school":null,"contributors":["Lohman III, Everett B.","Elmendorf III, Edward","Forrester, Bonnie","Zidek, Lisa","Zimmerman, Grenith"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2014,"date_issued":"2014-06-01T07:00:00Z","date_published":"2014-06-01T07:00:00Z","updated_at":"2026-07-24T02:52:27Z","subjects":["Medicine and Health Sciences","Physical Therapy","Rehabilitation and Therapy","Torticollis - Diagnosis; Plagiocephaly; Nosystolic - Diagnosis","Cervical Lateral Flexion","Neck Muscles","Sternocleidomastoid Muscles"],"languages":["English"],"rights":["This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarsrepository.llu.edu/etd/211","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Lohman III, Everett B.","Elmendorf III, Edward","Forrester, Bonnie","Zidek, Lisa","Zimmerman, Grenith"]},{"key":"dc:creator","label":"Author","values":["Hwang, Lisa Ann Change-Yee"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Physical Therapy"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Science (DSc)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Medicine and Health Sciences","Physical Therapy","Rehabilitation and Therapy","Torticollis - Diagnosis; Plagiocephaly; Nosystolic - Diagnosis","Cervical Lateral Flexion","Neck Muscles","Sternocleidomastoid Muscles"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarsrepository.llu.edu/etd/211"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The purpose of this study was to examine the effects of providing a standardized screening examination to a group of attending and resident physicians on the rate of torticollis and plagiocephaly diagnoses, the age at time of diagnosis, and the attitudes and practice patterns of the physicians. All subjects were given a standardized screening procedure by verbal instruction and handout, and also completed a pre-‐ and post-‐intervention questionnaire, which assessed the practice regarding the diagnosis and management of torticollis and plagiocephaly. A retrospective chart review was conducted to ascertain the changes in frequency and mean age of patients diagnosed by subjects over the 6-‐month intervention period compared to the previous 3 years. Pediatric residents reported significant increases in their frequency of diagnosing torticollis and plagiocephaly, their comfort level in screening for these diagnoses, and their frequency of referral to physical therapy for torticollis. Attending pediatricians reported significant increases in their diagnosis of plagiocephaly only. There was a significant increase in the percent of patients diagnosed with plagiocephaly at one of the six clinics during the intervention year. There was a significant decrease in the age at the time of diagnosis of torticollis patients at one of the six clinics during the intervention year.
"]},{"key":"dc:title","label":"Title","values":["Screening for Torticollis and Plagiocephaly: The Role of the Pediatrician"]}]}],"canonical_facts":{"dc:contributor":["Lohman III, Everett B.","Elmendorf III, Edward","Forrester, Bonnie","Zidek, Lisa","Zimmerman, Grenith"],"dc:creator":["Hwang, Lisa Ann Change-Yee"],"dc:description.abstract":["The purpose of this study was to examine the effects of providing a standardized screening examination to a group of attending and resident physicians on the rate of torticollis and plagiocephaly diagnoses, the age at time of diagnosis, and the attitudes and practice patterns of the physicians. All subjects were given a standardized screening procedure by verbal instruction and handout, and also completed a pre-‐ and post-‐intervention questionnaire, which assessed the practice regarding the diagnosis and management of torticollis and plagiocephaly. A retrospective chart review was conducted to ascertain the changes in frequency and mean age of patients diagnosed by subjects over the 6-‐month intervention period compared to the previous 3 years. Pediatric residents reported significant increases in their frequency of diagnosing torticollis and plagiocephaly, their comfort level in screening for these diagnoses, and their frequency of referral to physical therapy for torticollis. Attending pediatricians reported significant increases in their diagnosis of plagiocephaly only. There was a significant increase in the percent of patients diagnosed with plagiocephaly at one of the six clinics during the intervention year. There was a significant decrease in the age at the time of diagnosis of torticollis patients at one of the six clinics during the intervention year.
"],"dc:identifier":["https://scholarsrepository.llu.edu/etd/211"],"dc:language":["English"],"dc:rights":["This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights."],"dc:subject":["Medicine and Health Sciences","Physical Therapy","Rehabilitation and Therapy","Torticollis - Diagnosis; Plagiocephaly; Nosystolic - Diagnosis","Cervical Lateral Flexion","Neck Muscles","Sternocleidomastoid Muscles"],"dc:title":["Screening for Torticollis and Plagiocephaly: The Role of the Pediatrician"],"thesis:degree_discipline":["Physical Therapy"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Doctor of Science (DSc)"]},"updated_at":"2026-07-24T02:52:27Z"}