Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Friday, April 26, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
 Return to Search Results
ID 24879
  Title A retrospective study of the management of deformational plagiocephaly with chiropractic care
URL http://www.cjaonline.com.au/index.php/cja/article/view/159
Journal Chiropr J Aust. 2017 ;45(2):Online access only p 155-174
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: Deformational plagiocephaly (DP) is a common post-natal acquired condition that occurs as a result of persistent direct pressure on unilateral occipital structures. Various cognitive and motor developmental delays have been associated with DP and this study investigates the impact of chiropractic management on infants with DP.

Methods: Diagonal skull measurements were analysed from 23 infants determined to have mild (3-7%), moderate (7-12%) or severe (>12%) DP using the cranial vault asymmetry index (CVAI). Parents were offered chiropractic management alone or chiropractic management and a pressure reducing pillow.

Results: The average age at initial presentation was 12.5 weeks. The mean CVAI decreased during the first six weeks of treatment from 8.77% (SD 2.65%) to 5.60% (SD 2.95%) (Δ CVAI 3.17%) and to a further 4.60% (SD 2.84%) at final assessment at an average age of 29.8 weeks (Δ CVAI 4.18%). On average there was a 36.1% improvement in CVAI for the first six weeks of treatment and an overall 47.7% improvement in CVAI from initial presentation to final measurement following 6.9 visits on average. The 17 children who utilized pillows in conjunction with chiropractic treatment had their mean CVAI decrease from 8.81% (SD 2.41%) to 5.17% (SD 2.90%) (Δ CVAI 3.64%), whereas the six children who had chiropractic treatment alone had their mean CVAI decrease from 8.67% (SD 3.50%) to 2.99% (SD 2.12%) (Δ CVAI 5.68%), an overall improvement of 65.5%. This was statistically different (p=0.031).

Conclusion: Chiropractic management of DP shows objective improvements in infant skull shape. Chiropractic management with no ancillary pillow device offers greater improvement, likely because of increased ease of cervical rotation and better re-moulding from a firm mattress rather than a soft pillow. The broader implications on potential cognitive and motor development outcomes needs further investigation and collaboration.

Author keywords: Pediatrics; Deformational Plagiocephaly

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text [registration required]. PDF version 

 
   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips