Deformational plagiocephaly/brachycephaly (DPB) occurs in 16-19% of babies and 70-95% of these babies also have congenital muscular torticollis (CMT). Current theories state that the CMT occurs in the womb due to “packaging” causing the baby to develop a preferred position of turning their head in the opposite direction of the CMT. The skull is very soft and malleable; therefore, a preferred position often results in flattening and anteriorly displaces the ear, forehead and cheek. Although many families and PCP’s identify this issue at 1 or 2 months of age, the families are often told that DPB will resolve once the baby is rolling and sitting. Parents are very discouraged when this does not occur. Early intervention with conservative measures to include aggressive repositioning and physical therapy can be very effective. At our center, we have a team clinic with a nurse practitioner and a physical therapist seeing the patients referred for plagiocephaly/torticollis. The babies are evaluated for both diagnoses and treatment is initiated immediately often halting and/or reversing the progression and negating the need for helmet therapy.  

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1 hour
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The Importance of Early Identification and Treatment of Deformational Plagiocephaly/Brachycephaly and Congenital Muscular Torticollis
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Regina A. Fenton RN, MSN, CRNP
Susan A. Geatani PT, DPT
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