An increase in deformational plagiocephaly has been noted since 1992, when the American Academy of Pediatrics began recommending infants be placed to sleep in the prone position, in an effort to decrease the number of Sudden Infant Death Syndrome (SIDS)-associated fatalities. Intrauterine constraint, late gestational age, birthing forces/trauma, and postnatal positioning also play a role in the development of this condition. Once believed to be a purely cosmetic problem, studies and reports are now linking deformational plagiocephaly to possible mental, psychomotor, or developmental delays, auditory processing disorders, strabismus, and mandibular asymmetry. Non-intervention, positional changes, physical therapy, cranial remodeling orthotics, and surgical procedures are traditionally utilized to treat this condition. A literature search was conducted using the Cochrane Library, UpToDate, PubMed, Science Direct, and the Index to Chiropractic Literature. Publications were included if they were systematic reviews, RCTs with a control group, or specifically related to plagiocephaly interventions. The intent of this case report is to describe the result of chiropractic care on a single patient with deformational plagiocephaly. No adverse effects were reported as a result of the therapy and the patient's chief complaint of right-sided occipital flattening resolved completely during the course of treatment.
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