The AAO Journal, 2022/06, 32(2):9. doi: 10.53702/2375-5717-32.2.8, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/8/482676/LBORC-NUFA-Poster-Abstracts-2022-Residents)

Keywords:

case report [736]
congenital muscular torticollis [1]
OMT [3925]
osteopathic manipulative treatment [3946]
positional plagiocephaly [2]
infants [211]
pediatrics [573]

Abstract:

Introduction: Positional plagiocephaly (PP) is a common condition of cranial asymmetry that typically occurs in infants, resulting from mechanical factors applied over a period of time in utero, at birth, or postnatally. PP is often associated with congenital muscular torticollis (CMT). This case builds on current research and exemplifies that OMT offers an effective, non-invasive treatment option for cranial asymmetries associated with PP and CMT. Case: JD is a 5-month-old male who presented to OMT clinic after pediatrician referral for plagiocephaly. Head asymmetry and rotation preference were first noted around 3 months of age. Initial exam was notable for head asymmetry with left-sided occipital/parietal flattening, left head rotation preference, and accompanying osteopathic structural findings. Trial of OMT was initiated aimed at decreasing somatic dysfunction, improving inherent motion of cranial vault, and reducing rotational restriction. Results: JD was evaluated and treated with OMT weekly or bi-weekly for total of 9 visits with gradual improvement noted by parents and on exam. By ninth visit, left head rotation preference had resolved, cervical range of motion was full, parallelogram-shaped plagiocephaly was markedly improved with only mild asymmetry remaining, and somatic dysfunctions were significantly improved. Discussion: PP is an example of an adaptive deformity associated with CMT that can lead to a permanent conformation and several areas of developmental delay. Craniofacial deformities and facial asymmetry may persist in older children and adults, potentially leading to stigmatization, impaired psychological development, poorer academic performance, and corrective surgery. Our case highlights the impact OMT can have on a common pediatric condition with potential for serious adverse outcomes. This case is limited by absence of objective asymmetry measurements, which further studies could benefit from.