Chiropractic Evidence-Based Management of Deformational Plagiocephaly

Summary of Key Action Statements in this Document 

1. When evaluating an infant or child with deformational plagiocephaly, the chiropractor should be aware that the presence of plagiocephaly may have a negative developmental effect on the infant, pre-schooler and school-aged child. 
   
   
2. The chiropractor should understand the neurological benefits and impact of the chiropractic adjustment, as there may be significant functional changes occurring at the cerebellum and prefrontal cortex. Normalisation of afferentation by correcting dysfunctional spinal joints plays an important role in the restoration of proper spinal motion and aid appropriate neurological development. 
   
   
3. The chiropractor should be aware that deformational plagiocephaly may be the sign of an underlying condition, either pathological or non-pathological. While being able to diagnose specific conditions is not ultimately the objective of this guideline, recognition of a condition requiring appropriate referral is critical. 
   
   
4. The chiropractor should be the primary point of assessment for cervical spine joint dysfunction in infants and children with deformational plagiocephaly to assist with early identification and preventative treatment. Early intervention is associated with better outcomes. 
   
   
5. Management of deformational plagiocephaly can vary depending on the severity of the presentation: 
   
   - Mild cases are able to be managed by the chiropractor. 
   - Moderate cases are able to be managed by the chiropractor with co-management by appropriate health professionals. Co-management is determined on a case by case basis. 
   - Severe cases are able to be managed by the chiropractor with co-management by appropriate health professionals. Co-management is determined on a case by case basis. 
   
   
6. The chiropractor should be regularly examining and monitoring development of the degree of deformational plagiocephaly, as well as ensuring proper and expected neurological and physical development.