Cognitive characteristics of children treated for deformational plagiocephaly and parental perception of the therapy

Pawełczak, Dominika; Kwiatkowska, Karolina; Franczak-Young, Anita; Klasa, Łukasz; Kwiatkowski, Stanisław

doi:10.23736/s0390-5616.20.04841-9

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Studies suggest that the cognitive abilities of children treated for PP with or without physical therapy or helmet therapy are not altered in their growth (2-7 years old) [57].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

Blanco-Diaz,

Marcos-Alvarez,

Escobio-Prieto

et al. 2023

Children

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Objective: The objective of this study is to analyze conservative treatments implemented to manage positional plagiocephaly in infants. Methods: This is a systematic review conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, performed in the Medline (PubMed), Scopus, Web of Science, and Cochrane databases. Articles were selected according to the eligibility criteria, regarding the effectiveness of conservative treatments in positional plagiocephaly in infants, published in the last 10 years with a score ≥3 in the PEDro Scale. Results: A total of 318 articles were identified and 9 of them were finally selected. Conclusions: Physical therapy treatment is considered as the first line of intervention in plagiocephaly with non-synostotic asymmetries and manual therapy is the method that obtains the best results within this intervention. In cases of moderate or severe plagiocephaly, helmet therapy can be an effective second-line intervention; however, the best way to prevent this condition is through counseling of parents or caregivers, and early treatment is essential for optimal therapeutic outcomes. The review was registered in PROSPERO (CDR42022306466).

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“…Studies suggest that the cognitive abilities of children treated for PP with or without physical therapy or helmet therapy are not altered in their growth (2-7 years old) [57].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

Blanco-Diaz,

Marcos-Alvarez,

Escobio-Prieto

et al. 2023

Children

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“…While limited guidelines exist for treatment approaches for asymmetries of head shape and movement 46,47 , strategies for preventing infantile asymmetries remains poorly researched 39,48 with guidelines for HSA only available in one country 8 . The prevalence of HSA peaks between 2 and 4 months 49 when the newborn skull is maximally deformable and prolonged periods of time are spent in supine position 50 . This time frame supports the causative association identi ed between MA and PA, which are both detectable at birth, and HSA 7 .…”

Section: Introductionmentioning

confidence: 99%

Guidance strategies for infantile asymmetry prevention: A Systematic Review

Ellwood,

Sampath,

Rund

et al. 2024

Preprint

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Background: Infantile asymmetries of posture, movement and/or shape are common. Coincidence in the presentation of asymmetrical features can lead to a broad spectrum of descriptors. Evidence-based guidelines on prevention strategies are not currently available. The objective of this systematic review was to find, evaluate, and synthesise the available evidence regarding the effectiveness of prevention strategies for infantile asymmetries, specifically strategies involving paediatric screening and/or guidance to parents. Methods: This review has been reported based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and the review protocol was prospectively registered on the Open Science Framework, (https://osf.io/rgzev/). Searches were conducted on Ovid Medline, Ovid AMED, and PEDro. Inclusion criteria of articles were infants <16 weeks old who had received either an early musculoskeletal screen and/or education to parents on home care guidance/exercises to prevent asymmetry development. Any primary research was included. There was no limit placed upon date of publication. Data was screened, extracted and appraised in duplicate by at least two blinded reviewers. The Cochrane Collaboration's tool for assessing risk of bias available as part of Covidence was used by two reviewers independently. Results: 702 papers were retrieved and 15 articles were included; 6 randomised controlled trials, 6 cohort studies and 3 non-randomised experimental studies. The presenting conditions were head shape asymmetry in 10/15 studies and movement asymmetry of congenital muscular torticollis in the remaining 5 studies. Due to a lack of homogeneity between all the studies, it was not possible to pool the data and conduct meta-analysis. Guidance strategies show better outcomes in asymmetry prevention when provided early (< 3 months) and under supervision of a healthcare professional. The overall risk of bias for cohort and non-randomised experimental studies was considered to be ‘low’, and ‘adequate’ or ‘low’ for randomised controlled trials. The GRADE level of evidence was found to be ‘very low’. Conclusion: Early parental guidance may prevent infantile asymmetry when supervised by a trained healthcare professional and with good adherence from parents. Further studies with a higher methodological rigour are needed to identify and perform comparative interventions. Clinical Trial Number: Not applicable OSF number: DOI 10.17605/OSF.IO/RGZEV

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“…Four months seems to be the critical age for the development of NSP, 9 with the point prevalence of positional plagiocephaly being as low as 3.3% by 2 years of age. 10 While NSP has long been considered a mere cosmetic problem, it is associated with a considerable burden of parental stress, worry, and the need for costly and lengthy management.…”

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confidence: 96%

A Randomized Controlled Trial of Osteopathic Manipulative Therapy to Reduce Cranial Asymmetries in Young Infants with Nonsynostotic Plagiocephaly

Bagagiolo¹,

Priolo

Favre³

et al. 2022

Am J Perinatol

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Objective This study aimed to compare the efficacy of osteopathic manipulative therapy (OMTh) versus light touch therapy (LTT) in reducing cranial asymmetries in infants with nonsynostotic plagiocephaly (NSP). Study Design A prospective, parallel-group, single-center, LTT-controlled randomized clinical trial was conducted in the Department of Neonatology of Sant'Anna Hospital in Turin, Italy, from September 6, 2016 to February 20, 2020. We enrolled infants of 1 to 6 months of age with NSP, who were then randomly assigned to the study group (repositioning therapy plus six sessions of OMTh) or the control group (repositioning therapy plus six sessions of LTT). The outcome was the reduction of the oblique diameter difference index (ODDI) score <104%, which was assessed at the end of the intervention protocol (at 3 months) and at 1 year of age. Results A total of 96 infants were randomized, 48 in the OMTh group and 48 in the LTT group, with mean ages of 3.1 versus 3.2 months, and baseline ODDI score of 110.2 versus 108.7%. In the OMTh group, a significant reduction of the ODDI score <104%, compared with the LTT group, was observed in the intension-to-treat (ITT) and per-protocol (PP) analyses. The ITT analysis revealed an ODDI score <104% in the OMTh group at 3 months (risk difference: 0.41; 95% confidence interval [CI]: 0.25–0.53; p < 0.001) and at the follow-up at 1 year of age (risk difference: 0.47; 95% CI: 0.31–0.64; p < 0.001). The PP analysis at 3 months reported a risk difference of 0.44 (95% CI: 0.27–0.60; p < 0.001), and at 1 year of age, a risk difference of 0.54 (95% CI: 0.36–0.72; p < 0.001). Conclusion In infants with NSP, a course of six OMTh sessions significantly reduced cranial asymmetries at both the 3-month and 1-year follow-up assessments, compared with LTT. This study is registered with ClinicalTrial.gov (identifier: NCT03970395; www.clinicaltrials.gov ). Key Points

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Cognitive characteristics of children treated for deformational plagiocephaly and parental perception of the therapy

Cited by 4 publications

References 20 publications

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

Guidance strategies for infantile asymmetry prevention: A Systematic Review

A Randomized Controlled Trial of Osteopathic Manipulative Therapy to Reduce Cranial Asymmetries in Young Infants with Nonsynostotic Plagiocephaly

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