Posterior plagiocephaly: proactive conservative management

O’Broin, Eoin; Allcutt, D; Earley, Michael

doi:10.1054/bjps.1997.3007

Cited by 74 publications

(45 citation statements)

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“…These measures have not previously been demonstrated in normal term infants at home, although one study has shown the protective effect of a regimen of varied sleeping positions, including prone, in preventing dolichocephaly in premature infants in a hospital setting. 38 Although no objective measure of developmental 15,23,30,[33][34][35] likely delays are a contributory factor in the development of head shape asymmetry. It has been shown that supine sleepers achieve certain milestones later than prone sleepers, although they catch up by 18 months, 18,36 and it is possible that the reported developmental delays were related to this trend.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Nonsynostotic Plagiocephaly: A Case-Control Study

2003

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ABSTRACT.Objective. There has been a large increase in reported cases of nonsynostotic plagiocephaly in infants since the adoption of supine sleeping recommendations to prevent sudden infant death syndrome. The objective of this study was to identify and quantify the determinants of nonsynostotic plagiocephaly in infants.Methods. One hundred infants who received a diagnosis of having nonsynostotic plagiocephaly were recruited as case patients and compared with 94 control subjects who were selected from a citywide database of infants. The infants all were aged between 2 and 12 months. Information concerning sociodemographic variables, obstetric factors, infant factors, and infant care practices was obtained by parental interview.Results. Case patients were significantly more likely to be male (adjusted odds ratio [ ABBREVIATIONS. SIDS, sudden infant death syndrome; NSP, nonsynostotic plagiocephaly; OR, odds ratio; SE, standard error; CI, confidence interval; aOR, adjusted odds ratio.

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Section: Discussionmentioning

confidence: 99%

Determinants of Nonsynostotic Plagiocephaly: A Case-Control Study

2003

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“…56 Because there is no evidence that it can cause elevations in intracranial pressure, and the association with delays in development is questionable at best, it leaves aesthetic considerations as the only reason to consider a risky surgery. 56 Others have pointed out that head asymmetry eventually improves with time and seldom worsens beyond 4 months, 16,45,50,52,56,69 suggesting that watchful waiting rather than invasive surgery is a more reasonable option. However, the more recent evidence indicates that the deformity may not improve after 15 months of age, 24,32,40,48,61,64 which brings to the table another highly controversial issue surrounding PP.…”

Section: Current Treatment Optionsmentioning

confidence: 99%

“…5 Prior to the American Academy of Pediatrics (AAP) "Back to Sleep" (BTS) campaign, the incidence of PP was relatively low. 45 Following this recommendation there was a gradual rise in its incidence, making it currently an especially common presentation at physicians' offices.…”

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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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“…12,18,40 Other reported complications are learning disability and delay in language development, as well as possible inhibition of psychosocial development as a result of the abnormal appearance. 19,27,35,40 …”

Section: Incidence and Adverse Effect Of Positional Plagiocephalymentioning

confidence: 99%

“…The proposed treatment for positional plagiocephaly has been correction of the factors that cause it 21,34 (such as torticollis, strabismus, and hypotonia) in the early stages of symptom onset, modification of the sleep position together with physiotherapy, 34,35 and the application of a molding helmet. 25,28,40 Nevertheless, in children 2 to 4 years of age who have severely deformed cranial development, reconstructive surgery is often necessary.…”

Section: Treatment Of Positional Plagiocephalymentioning

confidence: 99%