Title:
Natural Progression of Non-Synostotic Plagiocephaly
Natural Progression of Non-Synostotic Plagiocephaly
Author(s)
Spragg, Rebecca
Advisor(s)
Editor(s)
Collections
Supplementary to
Permanent Link
Abstract
Background. Despite having a good understanding of the causes and treatment for
deformational plagiocephaly, the need for treatment has yet to be determined
conclusively. The purpose of this study was to determine the natural progression of
non-synostotic plagiocephaly in children between the ages of 18 and 48 months. The
study also aimed to determine parent impressions about the current head shape of
children with untreated deformational plagiocephaly.
Methods. A survey and follow-up scan were completed for twenty-two children
diagnosed with deformational plagiocephaly of severity level 3 or higher who declined
orthotic treatment. Subjects were between the ages of 18 and 48 months at the time of
the study. Cranial vault asymmetry index (CVAI), cephalic ratio (CR), and severity level
were compared from the initial diagnosis scan and the current scan.
Results. Of the 22 subjects, 17 showed an improvement in CVAI, with an average
decrease of 1.6%. CR had an average decrease of 4%. Parents perceived the head
shape to have "improved" in 14, "stayed the same" in 6, and were unsure of any change
in 4 subjects. Parents were "very satisfied" in 11, "somewhat satisfied" in 6, and "not
very" satisfied in 5 subjects.
Conclusions. Although there was a decrease in CVAI, it was not large enough to move
subjects into a non-treatment severity level. 77% of subjects would still be
recommended for orthotic treatment based on their current head shape. Parents are
satisfied with the current shape of their children's heads despite any asymmetry that
may still be present.
Sponsor
Date Issued
2008-04-23
Extent
16:20 minutes
Resource Type
Moving Image
Resource Subtype
Masters Project
Presentation
Presentation