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Comorbidities of deformational plagiocephaly in infancy: a scoping review protocol
Lia Charalambous1, Mijna Hadders-Algra2, Edna N Yamasaki1
1Department of Life and Health Sciences, School of Sciences and Engineering, University of Nicosia, Nicosia, Cyprus.
Insights
Deformational plagiocephaly (DP) is a common infant condition. This scoping review maps comorbidities associated with DP in children up to two years old, clarifying their nature and prevalence.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Public Health
Background:
- Deformational plagiocephaly (DP) is a prevalent infant cranial disorder characterized by unilateral flattening due to head positioning.
- The association between DP and comorbidities like developmental delay is suggested but remains unclear and controversial.
- Existing literature lacks a systematic categorization of comorbidities in infants with DP.
Purpose of the Study:
- To systematically explore the extent and nature of literature on comorbidities associated with DP in children up to two years of age.
- To identify, map, and categorize relevant comorbidities of DP.
- To clarify the nature and prevalence of comorbid impairments in infants with DP.
Main Methods:
- A scoping review protocol based on Arksey and O'Malley framework.
- Systematic literature search from 1992-2021 across multiple databases (Cochrane, MEDLINE, Google Scholar, EMBASE, PubMed, EBSCO).
- Inclusion criteria: studies on DP and comorbidities in children up to 2 years, excluding craniosynostosis, torticollis, and diagnosed neurodevelopmental deficiencies. PRISMA-ScR checklist for analysis.
Main Results:
- The review will systematically identify and categorize comorbidities associated with DP.
- The prevalence and nature of these comorbidities will be mapped based on existing literature.
- Results will be presented narratively, addressing the research question and study purpose.
Conclusions:
- This scoping review will provide a comprehensive overview of comorbidities linked to infant deformational plagiocephaly.
- It aims to clarify the current understanding and identify gaps in the literature regarding associated impairments.
- Findings will inform clinical practice and future research on DP management and outcomes.
Introduction:
Deformational plagiocephaly (DP) is one of the most common cranial shape disorders in infancy. It is characterised by unilateral flattening of the skull due to head preference to one side. The literature suggests that DP is associated with comorbidities such as developmental delay, but the nature and prevalence of the comorbid impairments are still unclear and controversial. Therefore, our scoping review (ScR) aims to explore systematically the extent and nature of literature by identifying, mapping and categorising the most relevant comorbidities of DP in children up to the age of 2 years.
Methods And Analysis:
This protocol is based on the framework outlined by Arksey and O'Malley. A systematic search will be conducted to identify relevant full text studies from 1992 to 2021 using the databases of Cochrane, MEDLINE, Google Scholar, EMBASE, PubMed and University of Nicosia EBSCO. Two independent reviewers will screen abstracts and full articles in parallel, using specific inclusion and exclusion criteria. Specifically, this review will consider studies investigating DP and relevant comorbidities in children up to the age of 2 years of life without craniosynostosis, torticollis and any other diagnosed neurodevelopmental deficiency.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for ScR Checklist will be considered for results' analysis and reporting. The results will be described in a narrative form in relation to the research question and in the context of the overall study purpose.
Ethics And Dissemination:
Research ethics approval is not required for this ScR since data will be retrieved from publicly available studies. Dissemination activities will include research findings' submission for publication in a relevant peer-reviewed journal and presentation of the results at relevant conferences.
Registration:
Our protocol was registered prospectively with the Open Science Framework (https://osf.io/48am3/).
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