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Home News

Positional Plagiocephaly Management Guidelines Published

by The O&P EDGE
November 1, 2016
in News
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Positional plagiocephaly and other positional skull deformities have become more common since 1992, with the inception of the Back to Sleep campaign that recommends placing babies on their backs to sleep to reduce the risk of sudden infant death syndrome (SIDS). Due to the increase in positional plagiocephaly, a multidisciplinary task force of clinical experts performed a comprehensive review and analysis of research on the diagnosis and treatment of positional plagiocephaly, and published a new set of clinical guidelines in the November issue of Neurosurgery. Developed by the Congress of Neurological Surgeons, the Guidelines for the Management of Patients With Positional Plagiocephaly are also endorsed by the Joint Guidelines Committee of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons, and the American Academy of Pediatrics (AAP).

The new plagiocephaly guidelines include recommendations in the following areas:

  • Diagnosis: In most cases, positional plagiocephaly can be diagnosed by clinical examination. The guidelines include recommendations for further testing in situations where further information is needed.
  • Repositioning: Repositioning is an effective treatment for deformational plagiocephaly. However, available studies suggest that repositioning is inferior to physical therapy and helmet therapy.
  • Physical Therapy: Physical therapy is recommended over repositioning alone for infants age seven weeks and older. Physical therapy is recommended over the use of a positioning pillow in order to ensure a safe sleeping environment and comply with AAP recommendations.
  • Helmet Therapy: A helmet, or cranial molding orthosis, is recommended for infants with moderate to severe plagiocephaly that persists after repositioning and/or physical therapy, or for older infants.

  • The recommendations in the new guidelines are rated according to the strength of the supporting research. The new document offers guidance to the many healthcare professionals who evaluate children with positional plagiocephaly. The guidelines also highlight the need for continued research in several key areas.

    Related posts:

    1. Congress of Neurological Surgeons Releases Evidence-based Guidelines for the Treatment of Pediatric Positional Plagiocephaly
    2. Risk Factors for Plagiocephaly
    3. Helmet Study Highlighted in The New York Times Is Flawed
    4. Beyond Cosmetic Concerns
      Functional Deficits Associated with Deformational Plagiocephaly
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