Infants with positional plagiocephaly
have flattening of one side of the head.
Previous studies suggest that 58% to 97% of infants with plagiocephaly
had a history of limitation of neck function or head rotational asymmetry (Hutchison, Stewart, & Mitchell, 2009; Rogers, Oh, & Mulliken, 2009), and 35% had torticollis (Marchac, Armaud, Di Rocco, Michienzi, & Renier, 2011).
However, there is controversy about how plagiocephaly
should be managed, the effectiveness of current guidelines such as helmet therapy (van Wijk et al 2014; Graham et al 2005), whether it causes developmental delay (Collett et al 2013; Darrah and Bartlett 2013) or is an indication of prior risk of delayed development (Branch et al 2015; Knight et al 2013; Shweikeh et al 2013; Bialocerkowski et al 2008; Biggs 2004; Persing et al 2003).
Earlier studies have suggested that physical therapy might be effective for plagiocephaly
caught early (7 and 8 weeks of age).
, Part 1: A practical guide to evaluation.
Many of those in the untreated group would have had 'mild' plagiocephaly
, which is already known to correct itself in most cases.
is defined as a deformation of the skull producing the appearance of an asymmetric head shape.
Children diagnosed with anterior plagiocephaly
should be referred early, as surgery is optimal if performed before the age of 1 year.
refers to flatness at the sides of the head, Lucy also has brachycephaly which is flatness at the back of the head.
We were referred to a consultant who told us Lucy had Plagiocephaly
but because the condition is cosmetic there was little the NHS can do.
Other reported uses included preventing reflux (two cases), elevating the head (one case), preventing rolling over (three cases), and preventing plagiocephaly
Two had hypertelorism; one associated with frontonasal encephalocoele; one with plagiocephaly
, one had Scaphocephaly and one with microcephaly.