Postural Assessment in Plagiocephaly

Study Overview
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Brief Summary
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The positional plagiocephaly is a condition involving craniofacial asymmetry. The purpose of this study is to evaluate the spine, the posture and the psychomotor state in children who were diagnosed with infant plagiocephaly.

Detailed Description
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Positional infant plagiocephaly is a clinical entity in which the shape of an infant's head becomes altered as the result of external forces applied to the malleable bones of the cranium and can occur pre- or postnatally. It is characterized by asymmetric occipital flattening (one side or the central part of the occiput is flattened)with ipsilateral frontal bossing.Viewed from above, this results in a parallelogram deformity of the head. We hypothesize that children who had plagiocephaly when they were infants, they have postural and spine implications at 3-5 years old.

Official Title
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Postural Assessment in Children With Non-synostotic Plagiocephaly

Conditions
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Plagiocephaly

Intervention / Treatment
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* Other: Assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of infant positional plagiocephaly Aged 3, 4 or 5 years old. Exclusion Criteria: Diagnosis of non synostotic plagiocephaly. Neurological concomitant condition. Problems in motor development.

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 5 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Plagiocephaly group-Assessment<br>Children (3-5 years) who were diagnosed and treated because of positional plagiocephaly are included in this group. An asssessment of posture will be performed. | Other: Assessment<br>* The posture, motor development and balance are going to be assessed.<br>* Other names: Psychomotor development;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spine assessment | The spine alignment, segmental and global angles in the sagittal and frontal planes,and the spinal mobility are going to be assessed by the Spinal Mouse®,a device guided manually on the skin along the spine. | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postural evaluation | The postural assessment comprises the static posture and the spinal flexibility by observing different positions and actions of the children. | baseline | 
| Psychomotor assessment | The psychomotor development test, TEPSI, is going to be used to assess three areas: coordination, language and motor state. The children are asked to perform different activities and the success is registered. | baseline | 
| Balance | The balance is assessed with the Pediatric Balance Test, asking the children to perform different tasks and observing the execution of these tasks. | baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Plagiocephaly, Posture, Spine