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An Overview of Positional Plagiocephaly and Cranial Remolding Orthoses
 
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Title/ An Overview of Positional Plagiocephaly and Cranial Remolding Orthoses
Source/ Journal of Prosthetics & Orthotics, Vol. 15, Num. 2, pp. 37-47, 2003.
Author(s) / Deanna Fish, MS, CPO
Dulcey Lima, CO, OTR/L
Abstract /
Positional plagiocephaly is defined as the product of dynamic distortion of the infantile cranium secondary to the application of pre- and post-natal forces. Most commonly, this abnormal head shape can be attributed to deformation that occurred in the womb, secondary deformational forces caused by sleep and daytime supine positioning, premature birth, or prolonged positioning due to unilateral tightness or weakness of the sternocleidomastoid muscle. During the last 10 years there has been an increase in the number of referrals to craniofacial clinics and the number of infants diagnosed with positional (i.e., nonsynostotic) plagiocephaly. The practicing orthotist needs to understand the cause, natural progression, anatomic features, and developmental implications of positional plagiocephaly to provide a comprehensive and effective orthotic treatment program for young infants.
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