Orthotic Management of Deformational Plagiocephaly: Consensus Clinical Standards of Care

Author:

Lin Robert S.1,Stevens Phillip M.2,Wininger Michael3,Castiglione Charles L.4

Affiliation:

1. Hanger Clinic at Connecticut Children's Medical Center, Hartford, Connecticut.

2. Hanger Clinic, Salt Lake City, Utah.

3. Prosthetics & Orthotics Program, University of Hartford, West Hartford, Connecticut, and Statistician of Medicine, Cooperative Studies Program, Department of Veterans Affairs, West Haven, Connecticut, and Yale School of Public Health, Yale University, New Haven, Connecticut.

4. Department of Plastic Surgery, Connecticut Children's Medical Center/Hartford Hospital, Hartford, Connecticut.

Abstract

Objective To establish consensus on definitive, actionable standards for the management of deformational plagiocephaly. Design Three-stage Delphi Survey process based on best practice statements obtained through literature review. Setting Electronic survey delivery. Participants Review panel of 10 multidisciplinary subject matter experts (SMEs); survey panel of 30 cranial orthotists. Results Fifty-four best practice statements were accepted in four categories: diagnosis, presentation and severity, initiating treatment, and management principles. Conclusions Clinical practice can be guided en route to robust evidence as to the efficacy of various plagiocephaly management strategies, in pursuit of definitive standards.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Oral Surgery

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