Neurodevelopmental Delays in Children with Deformational Plagiocephaly

Kordestani, Rouzbeh K.; Patel, Shaurin; Bard, David; Gurwitch, Robin H.; Panchal, Jayesh

doi:10.1097/01.prs.0000185604.15606.e5

Cited by 104 publications

(47 citation statements)

References 23 publications

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“…10,21,28,30,63 Multiple reports over the past decade have pointed to links between PP and abnormal ophthalmological findings, auditory processing, and motor development. 4,10,25,27,28,35,44,47,62,63,68 Two case-controlled studies, by Speltz et al 63 and Fowler et al, 21 found significant variability in gross motor development and body tone. However, almost none of these studies account for sleep position and many have problems with their design, suggesting that there are probably other factors at play.…”

Section: Established Risk Factorsmentioning

confidence: 99%

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

Shweikeh

Nuño

Danielpour

et al. 2013

FOC

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Object Positional plagiocephaly (PP) has been on the rise in recent years. In this review, the authors' aim was to assess the effectiveness of current recommendations to parents on this exceedingly common problem through a comprehensive literature search. Additionally, the current treatment options and the most recent studies on PP are reviewed. Methods A search of the existing literature was conducted to obtain all relevant studies on guidelines, recommendations, parental and clinician practices, and epidemiological aspects. Results Although the incidence and risk factors for PP have been well delineated, there continues to be debates on its management and association with developmental delays. Current guidelines and recommendations on prevention set by the American Association of Pediatrics may not be easily followed by both parents and clinicians. There is also evidence that certain populations, including those with lower education, socioeconomic status, and in particular geographic regions may be more affected by the condition. Additionally, the marketing and financial aspects of PP treatments exist and should be addressed. Conclusions Better awareness and education are necessary to inform the population as a whole, although certain populations should be given special attention. Additionally, current guidelines and recommendations can be modified to foster a better grasp of the condition by both parents and clinicians. Adjusting current recommendations, introducing initiatives, and offering elaborate educational campaigns would help deliver these aims. Educating parents on PP as early as possible through clearer guidelines and close monitoring is central to preventing and managing this common condition.

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Section: Established Risk Factorsmentioning

confidence: 99%

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

Shweikeh

Nuño

Danielpour

et al. 2013

FOC

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“…17 Some studies have reported the existence of motor delays and poor head control in infants with plagiocephaly. 1,18 In addition, infants with torticollis are also at increased risk for early gross motor delay. 19 Some studies have used the assessment of the milestone achievement in infants.…”

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confidence: 99%

Impact of Torticollis Associated With Plagiocephaly on Infants’ Motor Development

Cabrera‐Martos

Valenza²,

Valenza-Demet

et al. 2015

Journal of Craniofacial Surgery

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“…18,[20][21][22] As might be suspected, conditions that cause delayed or abnormal development may predispose to positional skull deformity (eg, infants with hypotonia or hypertonia). 23,24 Concerns have been raised over vision development 25 and mandibular asymmetry, 26 but a causal link to positional skull deformity has not been established. 16 Likewise, there has been no credible medical evidence to support concerns brought up in lay literature associating positional skull deformity to otitis media, temporomandibular joint (TMJ) syndrome, scoliosis, or hip dislocation.…”

Section: Introductionmentioning

confidence: 99%

Prevention and Management of Positional Skull Deformities in Infants

Laughlin¹,

Luerssen²,

Dias

2011

Pediatrics

134

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Positional skull deformities may be present at birth or may develop during the first few months of life. Since the early 1990s, US pediatricians have seen an increase in the number of children with cranial asymmetry, particularly unilateral flattening of the occiput, likely attributable to parents following the American Academy of Pediatrics “Back to Sleep” positioning recommendations aimed at decreasing the risk of sudden infant death syndrome. Positional skull deformities are generally benign, reversible head-shape anomalies that do not require surgical intervention, as opposed to craniosynostosis, which can result in neurologic damage and progressive craniofacial distortion. Although associated with some risk of positional skull deformity, healthy young infants should be placed down for sleep on their backs. The practice of putting infants to sleep on their backs has been associated with a drastic decrease in the incidence of sudden infant death syndrome. Pediatricians need to be able to properly differentiate infants with benign skull deformities from those with craniosynostosis, educate parents on methods of proactively decreasing the likelihood of the development of occipital flattening, initiate appropriate management, and make referrals when necessary. This report provides guidance for the prevention, diagnosis, and management of positional skull deformity in an otherwise normal infant without evidence of associated anomalies, syndromes, or spinal disease.

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Neurodevelopmental Delays in Children with Deformational Plagiocephaly

Abstract: This study indicates that before any intervention, infants with deformational plagiocephaly show significant delays in both mental and psychomotor development. Also of particular note is that no child with deformational plagiocephaly showed accelerated development.

Cited by 104 publications

References 23 publications

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

Impact of Torticollis Associated With Plagiocephaly on Infants’ Motor Development

Prevention and Management of Positional Skull Deformities in Infants

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