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Development in toddlers with and without deformational plagiocephaly
Brent R Collett1, Jacqueline R Starr, Deborah Kartin
1Department of Psychiatry and Behavioral Sciences, Seattle Children's Hospital, 4800 Sand Point Way NE, Mailstop W-3636, Seattle, WA 98105, USA. bcollett@u.washington.edu
Archives of Pediatrics & Adolescent Medicine
|July 6, 2011
Summary
Children with deformational plagiocephaly (DP) show continued developmental delays into toddlerhood. Motor, cognitive, and language skills were assessed, indicating ongoing surveillance is needed for these children.
Area of Science:
- Pediatric developmental neurology
- Craniofacial anomalies
- Child psychology
Background:
- Deformational plagiocephaly (DP) is associated with developmental delays in infancy.
- The persistence of these delays into toddlerhood requires further investigation.
Purpose of the Study:
- To determine if developmental delays observed in infants with DP persist into toddlerhood.
- To compare developmental trajectories in children with and without DP.
Main Methods:
- A longitudinal study followed 227 children with DP and 232 controls.
- Developmental assessments were conducted in infancy (7 months) and toddlerhood (18 months) using the Bayley Scales of Infant and Toddler Development, Third Edition.
Main Results:
- Toddlers with DP scored lower on all Bayley Scales compared to controls.
- The gap in cognitive and language scores widened from infancy to toddlerhood, while motor score differences decreased.
Conclusions:
- Children with DP continue to exhibit developmental delays at 18 months.
- While causality is not established, increased developmental surveillance is recommended for infants with DP.
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