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.
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.
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