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L’outcome a distanza nei lattanti affetti da plagiocefalia occipitale posturale
Parent survey on the outcome in babies presenting with positional occipital plagiocephaly at Meyer children's hospital, Florence, 2004-2006
Diletta Innocenti, Fabiola D’Angelo, Adrienne Davidson
Unità Professionale di Riabilitazione Funzionale, AOU Meyer, Firenze
Novembre 2014 - pagg. 587 -592
Abstract
Background - In the last fifteen years, numerous publications have reported the increase
in the incidence of positional occipital plagiocephaly (POP) in babies since the recommendation
of the supine position for sleep in the first months of life was introduced to reduce
the risk of Sudden Infant Death Syndrome (SIDS). On the contrary, there are few
studies on the outcome of the cranial asymmetry in later childhood and none have been
published on the follow-up of Italian babies presenting with the problem.
Objectives - To investigate 1) the outcome in early childhood of the head shape in young
babies presenting with POP in the first months of life and 2) eventual correlation of motor
and/or language development problems.
Methods - The clinical history of the 314 babies enrolled in the study was examined.
Questionnaires enquiring into the parents’ evaluation of their children’s head shape and
information on their motor and language milestones were distributed to the 232 couples
of parents who agreed to participate in the study.
Results - The data from the clinical notes confirmed the characteristics typical of babies
who develop POP already described in literature. 199 parents returned the questionnaires;
the average age of their children was 4.8 years (range 3.3 to 6.7 years). 87.5% of the
parents considered the cosmetic appearance of their children’s head shape to be normal,
whereas 30.2% reported a residual cranial asymmetry on palpation. 100% referred normal
motor development but 34.4% reported some problems in language development.
Conclusions - This study confirms the other data available in that POP can be considered
mainly a cosmetic problem, which presents in the first months of life and greatly improves
spontaneously during early childhood. Further studies need to investigate the relationship
Classificazione MeSH
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Corrispondenza: diletta.innocenti@meyer.it