Deformational Plagiocephaly Clinical Trial
Official title:
Comparison the Effectiveness Control Frequency of Physiotherapy Home Program on Deformational Plagiocephaly
30 babies with Deformational Plagiocephaly (DP) due to the congenital muscular torticollis
will be the participants of the study.
The subjects will randomly allocated into the two home program groups; first home program
group was seen once every six weeks (SxW), second home program group was seen once a week
(OW).
Parents will educate about the same home program which consisted of positioning the neck and
head, sleep in alternating head positions and in side-laying to increase head shape symmetry
and place infants, when awake and under supervision, regularly in the prone position a day
to stimulate normal motor development (tummy time), decreasing the time spent in car seat at
supine position. Environmental settings also will be given to challenge the baby look
through from the side no flattening to room, place colorful and sonorous toys or mirror on
the opposite of the flattening side, and stimulate active rotation by communicating with
baby from this side. Handling strategies, stretching and strengthening exercises will be
given for CMT. The parents will be reinforme if necessary. Positioning strategies will
spread throughout the day.Plagiocephaly severity assessment scale (PSS) which has 5
subgroups as following frontal asymmetry, occipital flattening, head tilt, fascial
asymmetry, ear asymmetry will be used to evaluate severity of DP.
30 babies with Deformational Plagiocephaly due to the congenital muscular torticollis will
be the participants of the study.
The subjects will randomly allocate into the two home program groups; first home program
group was seen once every six weeks (SxW), second home program group was seen once a week
(OW), by utilizing sealed envelope if babies met the following inclusion and exclusion
criteria.
After the initial evaluation, parents will be educate about the same home program which
consisted of positioning the neck and head, sleep in alternating head positions and in
side-laying to increase head shape symmetry and place infants, when awake and under
supervision, regularly in the prone position a day to stimulate normal motor development
(tummy time), decreasing the time spent in car seat at supine position. Environmental
settings also will be given to challenge the baby look through from the side no flattening
to room, place colorful and sonorous toys or mirror on the opposite of the flattening side,
and stimulate active rotation by communicating with baby from this side. Handling
strategies, stretching and strengthening exercises will be given CMT. One or two days after
the first visit the parents will asked to come again and demonstrate how they had
implemented the home program and what adaptations they had made. The parents will be
reinformed if necessary. Positioning strategies will spread throughout the day.
Participants will be allocated to the groups with sealed envelope randomization after parent
will be given the same home program.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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