What condition does resisting slight manual pressure suggest in torticollis assessment?
Answer
A more structural or osseous problem.
When assessing an adult experiencing torticollis, the response to gentle manual pressure provides a diagnostic clue regarding the origin of the misalignment. If the restricted head posture strongly resists even slight movement when an external force is applied, this rigidity points toward underlying structural pathology. This type of resistance implies that the limitation is rooted in the physical components like the bones or joints of the cervical spine, categorized as an osseous problem. Conversely, if the position yields to gentle correction, it suggests a functional cause, such as acute inflammation or a muscle spasm, which involves soft tissue that is less rigid than bone or joint structure.

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