Pediatrics: Interventions: Plagiocephaly

Question 1

Plagiocephaly

Answer 1

• Parallelogram shaped skull with ipsilateral flattening and contralateral bulging

Question 2

Positional Left Plagiocephaly

Answer 2

• Typically due to congenital muscular torticollis on the right
• Supine positoning that results in excessive pressures on a malleable skull

Question 3

Physical Therapy Goals and Interventions

Answer 3

• Prevention about education about prolonged supine position and CMT.
• More successful with early intervention
• Caregiver education

Question 4

Cranial Remolding

Answer 4

• If PT does not correct problem a helmet is prescribed made of thermoplastic material
• As the brain grows it pushes the skull into the helmet and remodels the skull
• Worn 20-23 hours/ day for 3-7 months
• Most effective if begun between 4-6 months
• At 18 months the sutures of the skull fuse and the helmet is no longer useful