If positional therapy does not work, helmet or band therapy may be recommended. For optimal results, positional therapy should be started before the infant is 4 months old.This helps build and strengthen neck, shoulder and arm muscles. Provide an infant with plenty of supervised play time on his or her tummy. Change infant’s head position from side to side during feeding time. When holding, feeding or carrying an infant, make sure that there is no undue pressure placed on the flat side of the head.Many infants will wiggle off of the roll in a short time some physicians recommend using Velcro or tape to secure the roll to the infant's body. Do NOT put the towel or blanket under the infant's head, because this can lead to suffocation. Place interesting objects on the opposite side of the bed to attract the infant’s attention. This can be achieved by placing a towel roll or rolled up blanket beneath the back and hip on the flattened side, positioning the baby to 45 degrees. Place the infant with his or her head turned on the opposite side of the head.The risk of positional plagiocephaly can be reduced by simply alternating the sleeping position of the infant, adding supervised tummy time during play, and being aware of which direction the infant tends to look. A thorough examination is necessary to confirm or rule out this diagnosis.ĭue to SIDS awareness, many infants now spend nearly 100 percent of the time on their backs. In such cases, the deformity is caused by premature closure of the fibrous joints between the bones of the infant skull (called cranial sutures). Wehby.Īlthough the majority of cases of misshapen heads in babies can be attributed to positional plagiocepahly, a small number of infants are born with a far more serious form of plagiocephaly caused by craniosynostosis. “The most important first step is to bring your baby to his or her pediatrician when you first notice the problem, to receive a proper diagnosis, and obtain a referral to a specialist, if needed,” said Dr. Fortunately, there are fairly simple treatment options to resolve this problem. “I see many babies with flattened heads and their parents are distressed that this is going to be a permanent condition and inevitably affect their child’s self esteem,” remarked Dr. “While thousands of lives have been saved through this campaign, more babies have developed positional plagiocephaly, much to the concern of very worried parents,” stated Monica Wehby, MD, a pediatric neurosurgeon and AANS spokesperson. According to the American Association of Neurological Surgeons (AANS), the incidence of this condition has increased five-fold since the introduction in 1992 of the “Back to Sleep” campaign, which was launched to address the rise in sudden infant death syndrome (SIDS) cases.
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