Motor Function in School-Aged Children With Positional Plagiocephaly or Brachycephaly
Brent R Collett1, Deborah Kartin, Erin R Wallace
1Center for Child Health, Behavior, and Development (Drs Collett, Wallace, and Speltz), Seattle Children's Research Institute, Seattle, Washington; Departments of Psychiatry and Behavioral Sciences (Drs Collett and Speltz), Rehabilitation Medicine (Dr Kartin), and Pediatrics (Dr Cunningham), University of Washington, Seattle, Washington; Seattle Children's Craniofacial Center (Dr Cunningham), Seattle, Washington.
Insights
Children with moderate-severe positional plagiocephaly/brachycephaly (PPB) may experience lasting motor skill deficits. Early developmental monitoring and interventions are recommended for affected infants.
Area of Science:
- Pediatric Health
- Developmental Pediatrics
- Neurology
Background:
- Positional plagiocephaly/brachycephaly (PPB) is a common condition in infants.
- The long-term impact of PPB on motor development requires further investigation.
Purpose of the Study:
- To assess persistent motor development deficits in school-aged children with a history of PPB.
- To compare motor function outcomes between children with and without a history of PPB.
Main Methods:
- A longitudinal cohort study design was employed.
- Follow-up assessments were conducted on 187 school-aged children with PPB and 149 controls.
- The Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2) was used to measure motor skills.
Main Results:
- Children with PPB history demonstrated lower scores on the BOT-2 compared to controls.
- Motor function differences were significant in children with moderate-to-severe PPB.
- No consistent motor function differences were found in children with mild PPB.
Conclusions:
- Moderate-to-severe PPB in infancy is associated with persistent motor function differences in later childhood.
- Close developmental monitoring and timely intervention are crucial for children with PPB to address potential motor deficits.
Objective:
To determine whether children with a history of positional plagiocephaly/brachycephaly (PPB) show persistent deficits in motor development.
Methods:
In a longitudinal cohort study, we completed follow-up assessments with 187 school-aged children with PPB and 149 participants without PPB who were originally enrolled in infancy. Primary outcomes were the Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2) composite scores.
Results:
Children with PPB scored lower than controls on the BOT-2. Stratified analyses indicated that differences were restricted to children who had moderate-severe PPB. No consistent differences were observed in children who had mild PPB.
Conclusion:
Children who had moderate-severe PPB in infancy show persistent differences in motor function. We suggest close developmental monitoring and early intervention to address motor deficits.
More Related Videos
Related Concept Videos
01:19Muscles that Move the Head
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
01:14Cranial Bones: Superior and Posterior View
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...