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Clinical Evaluation Processes and Procedures for the Orthotic Treatment of Infants With Deformational Plagiocephaly
 
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Title/ Clinical Evaluation Processes and Procedures for the Orthotic Treatment of Infants With Deformational Plagiocephaly
Source/ Journal of Prosthetics & Orthotics, Vol. 16, Num. 4S, pp. 24-27, 2004.
Author(s) / Deanna Fish, MS, CPO
Abstract /
Clinicians must work to educate caregivers and other healthcare professionals on preventive measures that will reduce the likelihood and/or severity of cranial deformations. Early identification of cranial asymmetry and disproportion is best treated with aggressive and consistent repositioning and/or therapy programs when there is no evidence of synostotic involvement. Follow-up examinations by 3 to 4 months of age should show considerable improvement in overall head shape if repositioning and/or therapy are to be effective. Moderate to severe cranial asymmetry or disproportion noted at 3 to 4 months of age warrants consideration for a cranial remolding orthosis. The earlier the orthotic intervention is introduced, the more significant the changes to the shape of the infant skull. Ultimately, medical team members working together can significantly reduce the progression and severity of these deformities and provide effective treatment for those not responding sufficiently to repositioning and changes in parenting practices.
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