Volume 4, Issue 1 (Continuously Updated 2021)                   Func Disabil J 2021, 4(1): 0-0 | Back to browse issues page

XML Print

1- Department of Orthotics and Prosthetics, Faculty of Rehabilitation, Iran University of Medical Science, Tehran, Iran.
2- Department of Orthotics and Prosthetics, Faculty of Rehabilitation, Iran University of Medical Science, Tehran, Iran. , saeedi.h@iums.ac.ir
3- Department of Neurology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (1238 Views)
Background and Objectives: Positional plagiocephaly is one of the most common skull deformities that ultimately lead to the asymmetry of the head and face in different ranges. This study aimed to estimate the prevalence of plagiocephaly and analyze the relationship between risk factors and the severity level of the deformities in children referred to the Mofid hospital.
Methods: In a cross-sectional study, the cranial vault asymmetry index was calculated from a routine head scan with a noninvasive laser shape digitizer. Data were recorded and categorized by the type and severity of deformation. Also, for the analysis of risk factors, data about sitting, feeding, and sleeping positions were gathered from parents.
Results: The study participants included 90 children, and the prevalence of head deformity was 35% (32 infants) with mild to moderate severity. According to the risk factors, infant positions are significantly correlated with the severity of plagiocephaly.
Conclusion: Parents’ awareness of changing the head position plays an important role to reduce the risk of plagiocephaly in children. 
Article number: 33
Full-Text [PDF 962 kb]   (620 Downloads) |   |   Full-Text (HTML)  (473 Views)  
Type of Study: Research | Subject: Prosthetics and Orthotics
Received: 2021/02/17 | Accepted: 2021/06/29 | Published: 2021/09/1

1. Matushita H, Alonso N, Cardeal DD, de Andrade FG. Major clinical features of synostotic occipital plagiocephaly: mechanisms of cranial deformations. Child's Nerv. Syst. 2014;30:1217-24. [DOI:10.1007/s00381-014-2414-7] [PMID]
2. Aarnivala, Henri, Ville Vuollo, Tuomo Heikkinen, Virpi Harila, Lasse Holmström, Pertti Pirttiniemi, and A Marita %J Journal of Cranio-Maxillofacial Surgery Valkama. 2017. "Accuracy of measurements used to quantify cranial asymmetry in deformational plagiocephaly." 45 (8):1349-1356. [DOI:10.1016/j.jcms.2017.05.014] [PMID]
3. Freudlsperger, Christian, Sahra Steinmacher, Daniel Saure, Jens P Bodem, Reinald Kühle, Jürgen Hoffmann, and Michael %J Journal of Cranio-Maxillofacial Surgery Engel. 2016. "Impact of severity and therapy onset on helmet therapy in positional plagiocephaly." 44 (2):110-115. [DOI:10.1016/j.jcms.2015.11.016] [PMID]
4. Yoo, Han-Su, Dong Kyun Rah, and Yong Oock %J Archives of Plastic Surgery Kim. 2012. "Outcome analysis of cranial molding therapy in nonsynostotic plagiocephaly." 39 (4):33 [DOI:10.5999/aps.2012.39.4.338] [PMID] [PMCID]
5. Kane AA, Mitchell LE, Craven KP, Marsh JL. Observations on a recent increase in plagiocephaly without synostosis. Pediatrics 1996;97:877-85.
6. Rekate HL. Occipital plagiocephaly: a critical review of the literature. J. Neurosurg. 1998;89:24-30. [DOI:10.3171/jns.1998.89.1.0024] [PMID]
7. Mitchell EA, Scragg R, Stewart AW, Becroft DM, Taylor BJ, Ford RP, et al. Results from the first year of the New Zealand cot death study. N. Z. Med. J. 1991;104:71-6.
8. Argenta L. Clinical classification of positional plagiocephaly. J. Craniofac. Surg. 2004;15:368-72. [DOI:10.1097/00001665-200405000-00004] [PMID]
9. Ripley CE, Pomatto J, Beals SP, Joganic EF, Manwaring KH, Moss SD. Treatment of positional plagiocephaly with dynamic orthotic cranioplasty. J. Craniofac. Surg. 1994;5:150-9. [DOI:10.1097/00001665-199407000-00003] [PMID]
10. Clarren SK, Smith DW, Hanson JW. Helmet treatment for plagiocephaly and congenital muscular torticollis. J. Pediatr. 1979;94:43-6. [DOI:10.1016/S0022-3476(79)80347-9]
11. Higginbottom MC, Jones KL, James HE. Intrauterine constraint and craniosynostosis. Neurosurgery 1980;6:39-44. https://doi.org/10.1097/00006123-198001000-00005 [DOI:10.1227/00006123-198001000-00005] [PMID]
12. Rogers GF, Oh AK, Mulliken JB. The role of congenital muscular torticollis in the development of deformational plagiocephaly. Plast. Reconstr. Surg. 2009;123:643-52. [DOI:10.1097/PRS.0b013e318196b9be] [PMID]
13. Golden KA, Beals SP, Littlereld TR, Pomatto JK. Sternocleidomastoid imbalance versus congenital muscular torticollis: their relationship to positional plagiocephaly. Cleft palate-craniofacial J. 1999;36:256-61. https://doi.org/10.1597/1545-1569(1999)036<0256:SIVCMT>2.3.CO;2 https://doi.org/10.1597/1545-1569_1999_036_0256_sivcmt_2.3.co_2 [DOI:10.1597/1545-1569(1999)0362.3.CO;2] [PMID]
14. Marchac A, Arnaud E, Di Rocco F, Michienzi J, Renier D. Severe deformational plagiocephaly: long-term results of surgical treatment. J. Craniofac. Surg. 2011;22:24-9. [DOI:10.1097/SCS.0b013e3181f7dd4a] [PMID]
15. St. John D, Mulliken JB, Kaban LB, Padwa BL. Anthropometric analysis of mandibular asymmetry in infants with deformational posterior plagiocephaly. J. Oral Maxillofac. Surg. 2002;60:873-7. [DOI:10.1053/joms.2002.33855] [PMID]
16. Van Vlimmeren LA, Takken T, Van Adrichem LNA, Van Der Graaf Y, Helders PJM, Engelbert RHH. Plagiocephalometry: a non-invasive method to quantify asymmetry of the skull; a reliability study. Eur. J. Pediatr. 2006;165:149-57. [DOI:10.1007/s00431-005-0011-1] [PMID]
17. Balan P, Kushnerenko E, Sahlin P, Huotilainen M, Näätänen R, Hukki J. Auditory ERPs reveal brain dysfunction in infants with plagiocephaly. J. Craniofac. Surg. 2002;13:520-5. [DOI:10.1097/00001665-200207000-00008] [PMID]
18. Miller RI, Clarren SK. Long-term developmental outcomes in patients with deformational plagiocephaly. Pediatrics 2000;105:e26-e26. [DOI:10.1542/peds.105.2.e26] [PMID]
19. Van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L'Hoir MP, Helders PJM, Engelbert RHH. Risk factors for deformational plagiocephaly at birth and at 7 weeks of age: a prospective cohort study. Pediatrics 2007;119:e408-18. [DOI:10.1542/peds.2006-2012] [PMID]
20. Mawji A, Vollman AR, Fung T, Hatfield J, McNeil DA, Sauvé R. Risk factors for positional plagiocephaly and appropriate time frames for prevention messaging. Paediatr. Child Health 2014;19:423-7. [DOI:10.1093/pch/19.8.423] [PMID] [PMCID]
21. Siegenthaler MH. Methods to diagnose, classify, and monitor infantile deformational plagiocephaly and brachycephaly: a narrative review. J. Chiropr. Med. 2015;14:191-204. [DOI:10.1016/j.jcm.2015.05.003] [PMID] [PMCID]
22. Mulliken JB, Vander DLW, Hansen M, LaBrie RA, Scott RM. Analysis of posterior plagiocephaly: deformational versus synostotic. Plast. Reconstr. Surg. 1999;103:371-80. [DOI:10.1097/00006534-199902000-00003] [PMID]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.