Time to revisit tummy time: A commentary on plagiocephaly and development

Paediatrics & Child Health
Kristy Wittmeier, Kathy Mulder

Abstract

Many centres report receiving more referrals for deformational plagiocephaly since implementation of the Back to Sleep campaign. This commentary combines clinical experience, local quality improvement data and existing literature to highlight three points to help prevent and manage plagiocephaly: (1) communicating 'Back to Sleep, Tummy to Play', (2) the importance of early detection and (3) plagiocephaly as a marker of developmental risk. We recommend: (1) equal emphasis on the messages of Back to Sleep and supervised Tummy to Play, to start this messaging early and reinforce at every opportunity; (2) examination of skull shape and neck range of motion as a routine component of the newborn assessment so that caregivers can implement positioning and handling suggestions immediately and (3) physiotherapy referral for babies who have torticollis, or who show persistent or worsening plagiocephaly despite positioning and handling interventions, for further assessment and management.

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Citations

Dec 13, 2019·The International Journal of Behavioral Nutrition and Physical Activity·Lisa M BarnettKylie D Hesketh
Jun 7, 2021·Italian Journal of Pediatrics·Iñaki Pastor-PonsJose Miguel Tricás-Moreno

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