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Published on: November 20, 2015
[Positional plagiocephaly in infants can be prevented]
Birgit Knudsen1, Karen Christensen, Susanne Baagøe
1Fysioterapien, Afdeling 236, Hvidovre Hospital, 2650 Hvidovre, Denmark. birgit.knudsen@hvh.regionh.dk
Insights
Positional plagiocephaly is rising. Key risk factors include supine sleeping, limited neck mobility, and less tummy time, with prevention strategies recommended.
Area of Science:
- Pediatrics
- Developmental Biology
- Public Health
Context:
- Increasing prevalence of positional plagiocephaly in infants.
- Need for evidence-based risk factor identification and prevention strategies.
- Growing concern among healthcare providers and parents regarding infant head shape abnormalities.
Purpose:
- To systematically identify and evaluate the risk factors associated with positional plagiocephaly.
- To synthesize findings from high-quality studies on plagiocephaly development.
- To provide evidence-based recommendations for the prevention of positional plagiocephaly.
Summary:
- A systematic review of 14 studies identified several risk factors for positional plagiocephaly.
- Confirmed risk factors include supine sleeping, positional preference, male sex, and reduced neck mobility.
- Other identified factors include one-sided handling, delayed motor development, insufficient tummy time, firstborn status, multiple births, and prematurity.
Impact:
- Informs clinical practice guidelines for infant care and sleep positioning.
- Raises awareness among parents and caregivers about modifiable risk factors.
- Provides a foundation for future research into preventative interventions for positional plagiocephaly.
Abstract:
The prevalence of positional plagiocephaly is increasing. A systematic database search (Cochrane, MEDLINE, Embase, Cinahl and PEDro), critical appraisal and systematic evaluation of the quality of 14 selected studies show that the following are certain risk factors for the development of positional plagiocephaly: supine sleeping position, positional preference, one-sided handling of the child, male sex, delayed motor development, reduced neck mobility, too little "tummy time", firstborn, multiple births and premature children. Recommendations for prevention are provided.
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