Posterior plagiocephaly

Kalra, Ricky; Walker, Marion L.

doi:10.1007/s00381-012-1784-y

Cited by 30 publications

(15 citation statements)

References 22 publications

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“…However, we did not evaluate development in terms of cognition, language, motor function, or social functioning, all of which are important aspects in the treatment of DP. DP is often associated with congenital muscular torticollis, prematurity, or maternal multiparity, some of which are risk factors for developmental delay [1]. The fact that these may be confounding factors should be considered when comparing developmental scores between children with and without DP.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly

et al. 2013

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ObjectiveTo compare effectiveness on correcting cranial and ear asymmetry between helmet therapy and counter positioning for deformational plagiocephaly (DP).MethodsRetrospective data of children diagnosed with DP who visited our clinic from November 2010 to October 2012 were reviewed. Subjects ≤10 months of age who showed ≥10 mm of diagonal difference were included for analysis. For DP treatment, information on both helmet therapy and counter positioning was given and either of the two was chosen by each family. Head circumference, cranial asymmetry measurements including diagonal difference, cranial vault asymmetry index, radial symmetry index, and ear shift were obtained by 3-dimensional head-surface laser scan at the time of initiation and termination of therapy.ResultsTwenty-seven subjects were included: 21 had helmet therapy and 6 underwent counter positioning. There was no significant difference of baseline characteristics, head circumferences and cranial asymmetry measurements at the initiation of therapy. The mean duration of therapy was 4.30±1.27 months in the helmet therapy group and 4.08±0.95 months in the counter positioning group (p=0.770). While cranial asymmetry measurements improved in both groups, significantly more improvement was observed with helmet therapy. There was no significant difference of the head circumference growth between the two groups at the end of therapy.ConclusionHelmet therapy resulted in more favorable outcomes in correcting cranial and ear asymmetry than counter positioning on moderate to severe DP without compromising head growth.

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Section: Discussionmentioning

confidence: 99%

“…Plagiocephaly literally means "oblique head," combining the Greek words plagios , meaning oblique, and kephalē , meaning head [1]. The term can be used to describe asymmetric head shapes resulting from both synostotic and nonsynostotic causes.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly

et al. 2013

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“…7,34 Its frequency is significant at the age of 6 weeks, with estimates of 16%; it peaks at 4 months with 19.7%, and then declines gradually at the age of 2 years to 3.3%. 15,27 These estimates are closely related to the infant's development.…”

Section: Extent Of the Problemmentioning

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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“…Evde çevre düzenlemesi: Beşiğin ve oyuncak gibi uyaranların bebeğin KMT olan tarafa aktif rotasyonunu uyaracak ve KMT olan taraftan odayı gö-recek şekilde yerleştirilmesi; bebeğin uyanık olduğu vakitlerde başı KMT olan tarafa dönük olacak şe-kilde yüzü koyun ve/veya yan olarak en az gün içe-risinde 30'ar dk toplam üç kez yatırılması, mümkün olduğunca sırtüstü pozisyonda ve araba koltuğunda geçirilen zamanın azaltılması, sırtüstü yatırıldığı zamanlarda KMT olan tarafa doğru boyun rotasyonu yapacak şekilde başın desteklenmesi ve bebeğin her pozisyonda odayı görmesi önerildi (23)(24)(25)(26).…”

Section: Yöntemunclassified

“…Egzersizlerin bebek tokken ve her alt değişiminde (günde 5-6 kez) bebeği rahatsız etmeyecek şiddette ve son noktada en az 30 sn beklenecek şekilde 8-10 tekrarlı olarak yaptı-rılması önerildi (25)(26)(27)(28).…”

Section: Yöntemunclassified

Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi

Keklicek¹,

Uygur²

2017

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Amaç: Bu çalışma deformasyonel plagiosefali ve konjenital musküler tortikollisin ev fizyoterapi ve rehabilitasyon programına cevabının araştırılması amacıyla planlandı. Yöntem AN INVESTIGATION OF THE RESPONSES OF CONGENITAL MUSCULAR TORTICOLLIS AND RELATED DEFORMATIONAL PLAGIOCEPHALY TO A HOME-BASED PHYSIOTHERAPY PROGRAM ORIGINAL ARTICLE ABSTRACTPurpose: This study was aimed to investigate the response of deformational plagiocephaly and congenital muscular torticollis to a home-based physiotherapy program.Methods: Thirty-two babies with congenital muscular torticollis and deformational plagiocephaly, aged between 0-6 months were the participants of the study. Babies received a home-based physiotherapy program. They were evaluated initially, at the sixth, the 12th and the 18th weeks after the first visit. Subjects were assessed using Muscle Function Scale, neck passive range of motion, and head tilt were used to evaluate congenital muscular torticollis, Plagiocephaly Severity Assessment Scale, and ear shift were used to assess deformational plagiocephaly.Results: Significant improvements were recorded for congenital muscular torticollis between initial and sixth week, the sixth and 12th weeks (p<0.05). At the 12th week, a plateau was regarding this improvement (p>0.05). Deformational plagiocephaly improvement continued between the 12th and the 18th weeks (p<0.05) after which of slight degree occipital flattening to slight degree was still not fully recovered. Conclusion:The study showed that even if congenital muscular torticollis was cured in three months, time still required for recovery of deformational plagiocephaly.

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Posterior plagiocephaly

Cited by 30 publications

References 22 publications

Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly

Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly

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

Konjenital Musküler Tortikollis ve Birlikte Gelişen Deformasyonel Plagiosefalinin Ev Fizyoterapi Programına Yanıtlarının İncelenmesi

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