Evidence based guidelines for the treatment of pediatric positional plagiocephaly. 

For all those who like to read up on evidence around positional plagiocephaly in infants. Well, I have the guidelines for you. 

The Congress of Neurological Surgeons has produced an evidence-based review and it’s clinical management protocol. 

The link is at the bottom of this page, however the key points from it are: 

  • Physical therapy is recommended over repositioning education alone for reducing prevalence of infantile positional plagiocephaly in infants 7 weeks of age. 
  • Physical therapy is as effective for the treatment of positional plagiocephaly and recommended over the use of a positional pillow, in order to ensure a safe sleeping environment. 
  • Helmet therapy is recommended for infants with persistent moderate to severe plagiocephaly after a course of conservative treatment (repositioning and/or physical therapy). 

These guidelines help to emphasis the multifactorial response that’s required to help treat infants with positional plagiocephaly. 

Evidence Based Guidelines

Dr Victoria McLelland – registered Osteopath 

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Cotlew St. Osteopathy

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Dr Victoria McLelland is an experienced Osteopath with 18 years of fostering a special interest in treating newborns and children. She has a solid understanding of infant milestones and development, a holistic approach to considering the child and family dynamics and aims to produce a welcoming and supportive environment so each child feels comfortable. 

Her techniques are age appropriate with a focus on treating the root cause.