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Time to revisit tummy time: A commentary on plagiocephaly and development
Kristy Wittmeier1,2, Kathy Mulder2
1Department of Pediatrics and Child Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba.
Paediatrics & Child Health
|February 27, 2018
Summary
Deformational plagiocephaly referrals increased after the Back to Sleep campaign. Promoting supervised Tummy to Play alongside Back to Sleep, early detection, and recognizing plagiocephaly as a developmental risk marker are key.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Public Health Initiatives
Background:
- The Back to Sleep campaign has been linked to an increase in referrals for deformational plagiocephaly.
- This highlights a need to address infant head shape concerns alongside safe sleep practices.
Purpose of the Study:
- To provide recommendations for preventing and managing deformational plagiocephaly.
- To emphasize the importance of early detection and its role as a developmental risk indicator.
Main Methods:
- A review combining clinical experience, local quality improvement data, and existing literature.
- Analysis of referral trends and clinical management strategies for plagiocephaly.
Main Results:
- Three key areas for intervention: communication of 'Back to Sleep, Tummy to Play', early detection, and understanding plagiocephaly as a developmental risk marker.
- Specific recommendations include emphasizing supervised Tummy to Play, routine newborn assessments for skull shape and neck mobility, and timely physiotherapy referrals.
Conclusions:
- Integrated messaging of safe sleep and supervised play is crucial.
- Early identification and intervention are vital for managing plagiocephaly and assessing developmental risks.
- Physiotherapy plays a role in managing torticollis and persistent plagiocephaly.
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