What is the optimal evidence based physical therapy intervention for an infant experiencingcongenital muscular torticollis (CMT). To answer this clinical question several online databaseswere used: PubMed, Physical Therapy Journal, Medline, CINAHL, and ProQuest. Thefollowing are the search terms that were used to find high quality peer reviewed articles for theclinical question: Congenital Muscular Torticollis, Torticollis, clinical practice guidelines, and physical therapy.Petronic et al. (2010) conducted a retrospective study to evaluate the proportion of rightversus left sided pediatric clients with Congenital Muscular Torticollis (CMT) in both gendersand different age groups. They also wanted to investigate the duration of physical therapy andtreatment outcomes in defined age groups and genders. The article was a grade B (level 3b) typeof evidence. There were a total of 980 children with clinically diagnosed CMT that wereincluded in the retrospective study. The children were from Serbia, Bosnia, Herzegonia, andMontenegro. I was not able to find what statistical analysis was used to analyze the data becausethere was a page missing from the article. The page was missing probably due to copyright lawsor an error with the upload of the article, which was a major limitation of the study. The resultsfrom the unknown analysis revealed that right CMT is frequent but not significant in bothgenders and different age groups. There was no significant difference with CMT betweengenders. Younger pediatric clients especially younger than one month have lower treatmentdurations and have better outcomes. Infants with CMT who are not diagnosed until 6 monthsrequire more time with treatment and have poor outcomes. The authors highly recommend earlydiagnosis within the first three months of life and start physical therapy treatment (protocol of stretching & active positioning stimulation) as early as possible.Cheng et al. (2001) designed a longitudinal prospective study to investigate the effect of astandardized manual stretching program on pediatric clients with Congenital Muscular Torticollis (CMT). They also evaluated the factors that predict the outcome of treatment. Theauthors advised the importance of classifying the pediatric clients with CMT into three groups.