(October 28, 2016) Physical therapy—with helmet therapy if needed—is the recommended treatment for most infants with position-related flattening of the skull (plagiocephaly), according to a new set of clinical guidelines in the November issue of Neurosurgery, official journal of the Congress of Neurological Surgeons (CNS). The journal is published by Wolters Kluwer.
“Evidence-based guidelines for the treatment of positional plagiocephaly are necessary and important to deal with this common disorder,” writes Dr. Ann Marie Flannery of Women’s and Children’s Hospital, Lafayette, La., and colleagues. An Executive Summary of the new guidelines is published in the November issue of Neurosurgery in addition to summaries of each individual chapter. The full-text versions of the guidelines are available on the Congress of Neurological Surgeons’ Guidelines website.
Evidence-Based Recommendations for Diagnosis and Treatment of Positional Plagiocephaly
Positional plagiocephaly refers to flattening of one side of the head. It may occur in infants who always sleep in the same position, causing pressure on the same spot on the skull. This and other positional skull deformities have become more common since the recommendation to place babies on their backs to sleep. The “Back to Sleep” campaign (now called “Safe to Sleep”) has been highly effective in lowering nationwide rates of sudden infant death syndrome (SIDS).