Torticollis and Plagiocephaly: Assessment and Treatment of Infants and Children

July 31 - August 2, 2020

This dynamic evolving course will concentrate on progressive, effective treatment schemes for infants and young children with a diagnosis of torticollis, with or without plagiocephaly, including challenging cases. The course is designed to provide therapists with current research and recommendations pertaining to the implications of torticollis, sleep posture, and increased use of positional devices on infant postural and motor development. Current evidence-based clinical pathways and guidelines for management of torticollis and infant head shape, including Clinical Practice Guidelines from APTA - Section on Pediatrics, will be discussed and incorporated. Red flags for related early infancy and preschool diagnoses will be appraised. Current functional, clinically-oriented evaluation, and evidence- based treatment strategies for infants and young children that can be integrated into routines and play will be provided. Diagnostic procedures and surgical intervention will be reviewed. Recommendations for follow-up and secondary specialist consultations will be presented. Emphasis on home exercise programs and effective strategies to team with parents will be explored.

Learning opportunities for therapists and medical professionals involved in pediatrics will transpire through lecture, case reports, group problem-solving, video review, patient demonstration, and lab practicum. The extensive use of pictures and videos throughout the 3 days of intensive course materials will allow participants to problem-solve and identify movement and tissue impairments related to the diagnosis of torticollis.

SUGGESTED AUDIENCE: Physical, Occupational & Speech Therapists; Nurses, including NICU, Nurse Practitioners, Orthotists, Physician Assistants, and Physicians

Course Objectives

Upon completion of this course, participants will be able to:

  1. Identify the incidence, etiology, and pathophysiology of torticollis and discuss the importance of early identification and early referral through systematic screenings and evaluations by health care providers.
  2. Identify the impact of torticollis on movement and associated body structures and function.
  3. Problem-solve current evidenced-based treatment regimens for torticollis.
  4. Identify the impact on head shape that may be present with a diagnosis of torticollis.                                                                                            
    1. Discuss guidelines, available research, and problem-solve solutions to manage, including helmet criteria and treatment.                                                                                              
  5. Discuss the relationship of “the change in sleep posture,” effects of increased positional devices, and environmental influences on postural development.
  6. Relate current research and recommendations pertaining to SIDS and the efficacy of back to sleep.
    1. Review diagnoses related to the health policy change.
  7. Collaborate and cultivate parent/caregiver’s understanding of the child’s health condition, interventions, and compliance to home education/therapy program and follow-up recommendations.
  8. Establish individualized goals and incorporate family-centered, evidenced-based treatment regimens as part of their home education/therapy program. 


Texas Children's Hospital
Feigin Center
1102 Bates, 1st Floor Conference Room A
Houston, TX 77030

Cost -  


Earned credits -  

20.25 contact hours through TOTA and TPTA

Registration - Register online


Cindy Miles, PT, PhD, PCS, CNDT, established her pediatric private practice in 1981 after serving the pediatric population since 1977. Cindy is a graduate of the University of Pittsburgh, School of Health-Related Professionals, East Stroudsburg University with a Master of Education in exercise physiology and Rocky Mountain University of Health Professions with a PhD in Pediatric Science. Her doctoral research was potential risk factors related to the diagnosis of torticollis. Cindy is Board- Certified by the American Board of Physical Therapy Specialties as a Pediatric Clinical Specialist, specializing in treating children; birth thru young adults. Cindy completed the eight week Pediatric Neurodevelopment training course and the Advanced Infant course. Presently, Cindy serves as Chair of the Section on Pediatrics Annual Conference (SoPAC), “Goofy for Exercise” Committee, is a member of the Section on Pediatrics’ Task Force on Guidelines for Exercise for Children, and is Treasurer of Section on Pediatrics’ IV Step Committee. Cindy served as the SOP Treasurer 2008 through 2013 and Treasurer elect 2007-2008. She presents nationally on pediatric private practice and reimbursement, as well as nationally and internationally on Torticollis and Plagiocephaly, and Fitness for All Abilities. She has published in peer-reviewed journals and books on topics related to pediatric physical therapy. or


Day 1

8:00 - 8:30  Registration

8:30 - 10:30  Etiology, Pathophysiology, Incidence

  • SIDS Research
  • Health Policy Shift
  • Sleep Position
  • Changing Symptomatology/Clinical Implications
  • Health Policy Shift-Impact on Development/Compensatory Postures

10:30 - 10:45  Break

10:45 - 12:30   Differential Diagnosis Associated

  • Pathologies/Impairments
  • Ocular Torticollis
  • GERD
  • Hip Dysplasia
  • Lab:  Small Group Work
  • Anatomy Review   
  • Extension Bias/Hypotonia
  • Toe Walking

12:30 - 1:30  Lunch
1:30 - 3:15  Developmental Components

  • Vision Development Assessment      

3:15 - 3:30  Break

3:30 - 5:30  Lab:  Problem-Solving Videos

  • Assessment
  • Small Group: Documentation/Goal Planning

Day 2

8:00 - 8:30  Registration/Sign-in

8:30 - 10:30  Plagiocephaly/Craniosynostosis

  • Anatomy
  • Etiology/Incidence
  • Assessment
  • Treatment
  • Helmet Criteria
  • Outcomes
  • Case Reviews
  • Facial Asymmetry

10:30 - 10:45  Break

10:45 - 12:30  Treatment Indicators

12:30 - 1:30  Lunch

1:30 - 3:15  Evaluation - Live Demo

3:15 - 3:30  Break

3:30 - 5:30  Treatment (including Lab):

  • Clinical Pathways/Protocols/Outcomes
  • Manual Stretching/Functional Range of Motion (Lab)                                 
  • Functional Strengthening
  • Functional Play

Day 3

8:00 - 8:30  Registration

8:30 - 10:30  Treatment (including Lab):

  • Manual Techniques
  • Problem-Solving Participant Cases
  • Positioning
  • HEP
  • Taping (Lab)/Tot Collar

10:30 - 10:45  Break

10:45 - 12:00  Lab Practicum

12:00 - 12:30  Lunch

12:30 - 2:30  Case Reviews

  • Clinical Decision Making/Follow-up
  • Botox
  • Surgical Intervention
  • Related Infant Trends
  • Insurance Trends
  • Summary/Conclusions


Wyndham Medical Center
6800 Main
Houston, Texas 77030
Nightly rate: $115.00 (price varies based on room availability)

Ask for Texas Children’s Hospital ESP Rate

Hotel Registration link