Plagiocephaly, Plagiocephaly, Nonsynostotic, Plagiocephaly, Positional
Conditions
Keywords
Manual Therapy, Cranial assymmetry, Cranial deformation, Physical Therapy
Brief summary
This study evaluates the efficacy of Pediatric Manual Therapy in the treatment of positional plagiocephaly in infants. 40 participants will receive a protocol of Pediatric Manual Therapy and educational physiotherapy in combination, while the other 20 will receive only educational physiotherapy
Detailed description
The Manual Therapy has shown efficacy in different pathologies in the adult but it is not know its utility in infants and children population, nor in specific pathologies as non synostotic plagiocephaly. In the conservative treatment of plagiocephaly the educational physiotherapy and the helmet therapy have the better level of evidence among other treatments. A protocol of ten sessions of Pediatric Manual Therapy will be applied to infants with positional plagiocephaly in combination with educational physiotherapy. The protocol consists in soft cervical mobilisation, myofascial induction and the application of some pressures to the cranial bones to improve the asymmetry of the head. Educational therapy which consists in more tummy time stimulation, stimulation to the non preference position of the head and counter positioning. The control group will receive only Educational therapy.
Interventions
PROCEDUREPediatric Manual Therapy
PROCEDUREEducational Physical Therapy
Sponsors
Universidad de Zaragoza
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
The assessors who receive participants and do the measurement are masked
Intervention model description
Parallel assignment
Eligibility
Sex/Gender
ALL
Age
No minimum to 6 Months
Healthy volunteers
Yes
Inclusion criteria
* Sign of positional plagiocephaly * Infants below 6 moths age
Exclusion criteria
* No neurological disorders * No infectious diseases * No respiratory diseases * No other treatments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Right Oblique Cranial Vault Diameter | 10 weeks | Measured with caliper, is the distance from left external part of the orbit to the right lambdoid suture at the horizontal plane |
| Left Oblique Cranial Vault Diameter | 10 weeks | Measured with caliper, is the distance from right external part of the orbit to the left lambdoid suture at the horizontal plane |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cranial circumference | 10 weeks | Measured in cm with a measuring tape. |
| Cranial length | 10 weeks | Measured with calliper, is the distance from most anterior point in the frontal bone in the middle line to the most posterior point in the cranial vault on the horizontal plane in the middle line |
| Cranial wide | 10 weeks | Measured with calliper, is the distance between the two more lateral points in the vault, usually in the temporal or parietal bone. |
Countries
Spain
Outcome results
None listed