Brent R Collett1, Deborah Kartin, Erin R Wallace, Michael L Cunningham, Matthew L Speltz. 1. Center for Child Health, Behavior, and Development (Drs Collett, Wallace, and Speltz), Seattle Children's Research Institute, Seattle, Washington; Departments of Psychiatry and Behavioral Sciences (Drs Collett and Speltz), Rehabilitation Medicine (Dr Kartin), and Pediatrics (Dr Cunningham), University of Washington, Seattle, Washington; Seattle Children's Craniofacial Center (Dr Cunningham), Seattle, Washington.
Abstract
OBJECTIVE: To determine whether children with a history of positional plagiocephaly/brachycephaly (PPB) show persistent deficits in motor development. METHODS: In a longitudinal cohort study, we completed follow-up assessments with 187 school-aged children with PPB and 149 participants without PPB who were originally enrolled in infancy. Primary outcomes were the Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2) composite scores. RESULTS: Children with PPB scored lower than controls on the BOT-2. Stratified analyses indicated that differences were restricted to children who had moderate-severe PPB. No consistent differences were observed in children who had mild PPB. CONCLUSION: Children who had moderate-severe PPB in infancy show persistent differences in motor function. We suggest close developmental monitoring and early intervention to address motor deficits.
OBJECTIVE: To determine whether children with a history of positional plagiocephaly/brachycephaly (PPB) show persistent deficits in motor development. METHODS: In a longitudinal cohort study, we completed follow-up assessments with 187 school-aged children with PPB and 149 participants without PPB who were originally enrolled in infancy. Primary outcomes were the Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2) composite scores. RESULTS:Children with PPB scored lower than controls on the BOT-2. Stratified analyses indicated that differences were restricted to children who had moderate-severe PPB. No consistent differences were observed in children who had mild PPB. CONCLUSION:Children who had moderate-severe PPB in infancy show persistent differences in motor function. We suggest close developmental monitoring and early intervention to address motor deficits.
Authors: Erin R Wallace; Cindy Ola; Brian G Leroux; Matthew L Speltz; Brent R Collett Journal: Paediatr Child Health Date: 2020-04-17 Impact factor: 2.253