Guidelines

Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients with Positional Plagiocephaly: The Role of Physical Therapy

Lissa C. Baird, Paul Klimo, Ann Marie Flannery, David F. Bauer, Alexandra Beier, Susan Durham, Alexander Y. Lin, Catherine McClung-Smith, Laura Mitchell, Dimitrios Nikas, Mandeep S. Tamber, Rachana Tyagi, Catherine Mazzola

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

BACKGROUND: Evidence-based guidelines are not currently available for the treatment of positional plagiocephaly and, in particular, for the use of physical therapy for treatment. OBJECTIVE: To answer the question: "does physical therapy provide effective treatment for positional plagiocephaly?" Treatment recommendations are created based on the available evidence. METHODS: The PubMed and the Cochrane Library were queried using MeSH headings and key words relevant to the objective of this systematic review. Abstracts were reviewed, after which studies meeting the inclusion criteria were selected and graded according to their quality of evidence (Classes I-III). Evidentiary tables were constructed that summarized pertinent study results, and recommendations were made based on the quality of the literature (Levels I-III). RESULTS: Three studies met criteria for inclusion. Two randomized, controlled trials (Class I and Class II) and 1 prospective study assessing plagiocephaly as a secondary outcome measure (Class III) were included. CONCLUSION: Within the limits of this systematic review, physical therapy is significantly more effective than repositioning education as a treatment for positional plagiocephaly. There is no significant difference between physical therapy and a positioning pillow as a treatment for positional plagiocephaly. However, given the American Academy of Pediatrics' recommendation against soft pillows in cribs to ensure a safe sleeping environment for infants, physical therapy must be recommended over the use of a positioning pillow. The full guidelines document can be located at https://www.cns.org/guidelines/guidelines-management-patients-positional-plagiocephaly/Chapter-4.

Original languageEnglish (US)
Pages (from-to)E630-E631
JournalNeurosurgery
Volume79
Issue number5
DOIs
StatePublished - Nov 1 2016

Fingerprint

Nonsynostotic Plagiocephaly
Guidelines
Therapeutics
Plagiocephaly
Infant Equipment
Medical Subject Headings
PubMed

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Guidelines : Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients with Positional Plagiocephaly: The Role of Physical Therapy. / Baird, Lissa C.; Klimo, Paul; Flannery, Ann Marie; Bauer, David F.; Beier, Alexandra; Durham, Susan; Lin, Alexander Y.; McClung-Smith, Catherine; Mitchell, Laura; Nikas, Dimitrios; Tamber, Mandeep S.; Tyagi, Rachana; Mazzola, Catherine.

In: Neurosurgery, Vol. 79, No. 5, 01.11.2016, p. E630-E631.

Research output: Contribution to journalReview article

Baird, LC, Klimo, P, Flannery, AM, Bauer, DF, Beier, A, Durham, S, Lin, AY, McClung-Smith, C, Mitchell, L, Nikas, D, Tamber, MS, Tyagi, R & Mazzola, C 2016, 'Guidelines: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients with Positional Plagiocephaly: The Role of Physical Therapy', Neurosurgery, vol. 79, no. 5, pp. E630-E631. https://doi.org/10.1227/NEU.0000000000001429
Baird, Lissa C. ; Klimo, Paul ; Flannery, Ann Marie ; Bauer, David F. ; Beier, Alexandra ; Durham, Susan ; Lin, Alexander Y. ; McClung-Smith, Catherine ; Mitchell, Laura ; Nikas, Dimitrios ; Tamber, Mandeep S. ; Tyagi, Rachana ; Mazzola, Catherine. / Guidelines : Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients with Positional Plagiocephaly: The Role of Physical Therapy. In: Neurosurgery. 2016 ; Vol. 79, No. 5. pp. E630-E631.
@article{2e04be74c340474ead6754bf95f00fca,
title = "Guidelines: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients with Positional Plagiocephaly: The Role of Physical Therapy",
abstract = "BACKGROUND: Evidence-based guidelines are not currently available for the treatment of positional plagiocephaly and, in particular, for the use of physical therapy for treatment. OBJECTIVE: To answer the question: {"}does physical therapy provide effective treatment for positional plagiocephaly?{"} Treatment recommendations are created based on the available evidence. METHODS: The PubMed and the Cochrane Library were queried using MeSH headings and key words relevant to the objective of this systematic review. Abstracts were reviewed, after which studies meeting the inclusion criteria were selected and graded according to their quality of evidence (Classes I-III). Evidentiary tables were constructed that summarized pertinent study results, and recommendations were made based on the quality of the literature (Levels I-III). RESULTS: Three studies met criteria for inclusion. Two randomized, controlled trials (Class I and Class II) and 1 prospective study assessing plagiocephaly as a secondary outcome measure (Class III) were included. CONCLUSION: Within the limits of this systematic review, physical therapy is significantly more effective than repositioning education as a treatment for positional plagiocephaly. There is no significant difference between physical therapy and a positioning pillow as a treatment for positional plagiocephaly. However, given the American Academy of Pediatrics' recommendation against soft pillows in cribs to ensure a safe sleeping environment for infants, physical therapy must be recommended over the use of a positioning pillow. The full guidelines document can be located at https://www.cns.org/guidelines/guidelines-management-patients-positional-plagiocephaly/Chapter-4.",
author = "Baird, {Lissa C.} and Paul Klimo and Flannery, {Ann Marie} and Bauer, {David F.} and Alexandra Beier and Susan Durham and Lin, {Alexander Y.} and Catherine McClung-Smith and Laura Mitchell and Dimitrios Nikas and Tamber, {Mandeep S.} and Rachana Tyagi and Catherine Mazzola",
year = "2016",
month = "11",
day = "1",
doi = "10.1227/NEU.0000000000001429",
language = "English (US)",
volume = "79",
pages = "E630--E631",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Guidelines

T2 - Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline for the Management of Patients with Positional Plagiocephaly: The Role of Physical Therapy

AU - Baird, Lissa C.

AU - Klimo, Paul

AU - Flannery, Ann Marie

AU - Bauer, David F.

AU - Beier, Alexandra

AU - Durham, Susan

AU - Lin, Alexander Y.

AU - McClung-Smith, Catherine

AU - Mitchell, Laura

AU - Nikas, Dimitrios

AU - Tamber, Mandeep S.

AU - Tyagi, Rachana

AU - Mazzola, Catherine

PY - 2016/11/1

Y1 - 2016/11/1

N2 - BACKGROUND: Evidence-based guidelines are not currently available for the treatment of positional plagiocephaly and, in particular, for the use of physical therapy for treatment. OBJECTIVE: To answer the question: "does physical therapy provide effective treatment for positional plagiocephaly?" Treatment recommendations are created based on the available evidence. METHODS: The PubMed and the Cochrane Library were queried using MeSH headings and key words relevant to the objective of this systematic review. Abstracts were reviewed, after which studies meeting the inclusion criteria were selected and graded according to their quality of evidence (Classes I-III). Evidentiary tables were constructed that summarized pertinent study results, and recommendations were made based on the quality of the literature (Levels I-III). RESULTS: Three studies met criteria for inclusion. Two randomized, controlled trials (Class I and Class II) and 1 prospective study assessing plagiocephaly as a secondary outcome measure (Class III) were included. CONCLUSION: Within the limits of this systematic review, physical therapy is significantly more effective than repositioning education as a treatment for positional plagiocephaly. There is no significant difference between physical therapy and a positioning pillow as a treatment for positional plagiocephaly. However, given the American Academy of Pediatrics' recommendation against soft pillows in cribs to ensure a safe sleeping environment for infants, physical therapy must be recommended over the use of a positioning pillow. The full guidelines document can be located at https://www.cns.org/guidelines/guidelines-management-patients-positional-plagiocephaly/Chapter-4.

AB - BACKGROUND: Evidence-based guidelines are not currently available for the treatment of positional plagiocephaly and, in particular, for the use of physical therapy for treatment. OBJECTIVE: To answer the question: "does physical therapy provide effective treatment for positional plagiocephaly?" Treatment recommendations are created based on the available evidence. METHODS: The PubMed and the Cochrane Library were queried using MeSH headings and key words relevant to the objective of this systematic review. Abstracts were reviewed, after which studies meeting the inclusion criteria were selected and graded according to their quality of evidence (Classes I-III). Evidentiary tables were constructed that summarized pertinent study results, and recommendations were made based on the quality of the literature (Levels I-III). RESULTS: Three studies met criteria for inclusion. Two randomized, controlled trials (Class I and Class II) and 1 prospective study assessing plagiocephaly as a secondary outcome measure (Class III) were included. CONCLUSION: Within the limits of this systematic review, physical therapy is significantly more effective than repositioning education as a treatment for positional plagiocephaly. There is no significant difference between physical therapy and a positioning pillow as a treatment for positional plagiocephaly. However, given the American Academy of Pediatrics' recommendation against soft pillows in cribs to ensure a safe sleeping environment for infants, physical therapy must be recommended over the use of a positioning pillow. The full guidelines document can be located at https://www.cns.org/guidelines/guidelines-management-patients-positional-plagiocephaly/Chapter-4.

UR - http://www.scopus.com/inward/record.url?scp=84992406157&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84992406157&partnerID=8YFLogxK

U2 - 10.1227/NEU.0000000000001429

DO - 10.1227/NEU.0000000000001429

M3 - Review article

VL - 79

SP - E630-E631

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 5

ER -