Positional plagiocephaly from structure to function: Clinical experience of the service of pediatric osteopathy in Italy

Filisetti, Monica; Cattarelli, Donatella; Bonomi, Stefano

doi:10.1016/j.earlhumdev.2020.105028

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…The functional consequences of plagiocephaly are postural and musculoskeletal disorders, sensory disorders, and impact on neurological development [36].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Positional Plagiocephaly Prevention Methods for Patients in Development

Inchingolo

Piras

et al. 2022

Applied Sciences

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Positional plagiocephaly is an asymmetrical skull deformation caused by various factors. Although it is not responsible for abnormal brain development in infants and is not related to the onset of neurophysiological problems, it is critical to prevent skull deformity to avoid aesthetic and functional consequences. The purpose of the study is to investigate the relevance of preventive procedures to the onset of positional plagiocephaly, such as the use of passive mattresses, which is primarily correlated with the need for newborns and infants to sleep and rest in proper posture. PubMed, Web of Science, Google Scholar, Scopus, Cochrane Library, and Embase were searched for papers that matched our topic, dating from January 2012 to 22 October 2022, with an English language restriction, using the following Boolean keywords: (“positional plagiocephaly” AND “prevention”). A total of 11 papers were included as relevant papers matching the purpose of our investigation. According to the research results, inadequate vitamin D and folic acid intake during pregnancy may increase the risk of skull deformation. Furthermore, babies should sleep on their backs and spend at least 30 min in tummy time. Using a passive sleep curve mattress has several advantages such as low cost, easy handling, no compliance system, and a marked improvement in head shape, allowing harmonious skull growth guided by normal brain expansion.

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“…The functional consequences of plagiocephaly are postural and musculoskeletal disorders, sensory disorders, and impact on neurological development [36].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Positional Plagiocephaly Prevention Methods for Patients in Development

Inchingolo

Piras

et al. 2022

Applied Sciences

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“…SP is a form of non-syndromic or syndromic craniosynostosis due to premature fusion of one or more cranial suture. Positional molding is a distinct entity caused by intrauterine restriction or by postnatal deformational forces [2][3][4][5][6][7][8][9]. Following the "Back to sleep" campaign introduced by American Heart Association to prevent SIDS, the incidence of positional plagiocephaly has increased significantly [10].…”

Section: Introductionmentioning

confidence: 99%

Sutures ultrasound: useful diagnostic screening for posterior plagiocephaly

et al. 2021

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Purpose Posterior plagiocephaly (PP) is a common clinical condition in pediatric age. There are two main causes of PP: postural plagiocephaly and craniosynostosis. Early diagnosis is important, as it prevents neurological complications and emergencies. Diagnosis in the past was often made late and with imaging tests that subjected the infant to a high radiation load. Suture ultrasound does not use ionizing radiation; it is easy to perform, allows an early diagnosis, and directs toward the execution of the cranial 3D-CT scan, neurosurgical consultation, and possible intervention. The aim of the study is to describe the high sensitivity and specificity of suture ultrasound for the differential diagnosis between plagiocephaly and craniosynostosis. Methods We reported our prospective experience and compared it with the data in the literature through a systematic review. The systematic review was conducted on electronic medical databases (PubMed, Embase, Cochrane Library, Scopus, and Web of Science) evaluating the published literature up to November 2020. According to Preferred Reporting Items for Systematic Reviews and Meta-ANALYSES (PRISMA statement), we identified 2 eligible studies. Additionally, according to AMSTAR 2, all included reviews have been critically rated as high quality. A total of 120 infants with abnormal skull shape were examined in NICU. All underwent clinical and ultrasound examination. Results Of the total, 105 (87.5%) had plagiocephaly and 15 dolichocephaly/scaphocephaly (12.5%). None of these had associated other types of malformations and/or neurological disorders. The synostotic suture was identified ultrasonographically in 1 infant and subsequently confirmed by 3D CT scan (100%). Conclusion Cranial sutures ultrasonography can be considered in infants a selective, excellent screening method for the evaluation of skull shape deformities as first technique before the 3D CT scan exam and subsequent neurosurgical evaluation. Cranial suture ultrasonography should be considered part of clinical practice especially for pediatricians.

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Positional plagiocephaly from structure to function: Clinical experience of the service of pediatric osteopathy in Italy

Cited by 2 publications

References 32 publications

A Systematic Review of Positional Plagiocephaly Prevention Methods for Patients in Development

A Systematic Review of Positional Plagiocephaly Prevention Methods for Patients in Development

Sutures ultrasound: useful diagnostic screening for posterior plagiocephaly

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