Evidence map›Paper›PMID 27815732›Full record

Trial reportEuropean journal of pediatrics2017

The course of skull deformation from birth to 5 years of age: a prospective cohort study.

Leo A van Vlimmeren, Raoul Hh Engelbert, Maaike Pelsma, Hans Mm Groenewoud, Magda M Boere-Boonekamp, Maria Wg Nijhuis-van der Sanden

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03659032 nacompletednot on this map

Efficacy of Pediatric Manual Therapy in the Positional Plagiocephaly

TypeinterventionalSponsorUniversidad de ZaragozaRan2017 to 2020Enrolled60ConditionsPlagiocephaly, Plagiocephaly, Nonsynostotic, Plagiocephaly, PositionalArmsPediatric Manual Therapy, Educational Physical Therapy
NCT04672837 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Efficacy of Pediatric Integrative Manual Therapy in Babies With Deformational Plagiocephaly and Congenital Muscular Torticollis

TypeinterventionalSponsorUniversidad de ZaragozaRan2019 to 2023Enrolled50ConditionsPlagiocephaly, Nonsynostotic, Plagiocephaly, Positional, Congenital Muscular TorticollisArmsPediatric Integrative Manual Therapy and educational therapy, Stretching and educational therapy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Use of orthotic helmets in children with positional plagiocephaly and brachycephaly: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  3. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy.Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association · 2018
    Guideline
  4. Article
  5. Spinal mobilization in infants reconsidered.The Journal of manual & manipulative therapy · 2025
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Average Models and 3-dimensional Growth Patterns of the Healthy Infant Cranium.Plastic and reconstructive surgery. Global open · 2020
    Article
  12. Article
  13. Infant Cranial Deformity: Cranial Helmet Therapy or Physiotherapy?International journal of environmental research and public health · 2020
    Article
  14. A new parameter for the management of positional plagiocephaly: the size of the anterior fontanelle matters.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
  15. Article
  16. Article
  17. Infant/toddler motor skills as predictors of cognition and language in children with and without positional skull deformation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Article
  18. Article
  19. Positional Skull Deformities.Deutsches Arzteblatt international · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leo A van VlimmerenDepartment of Rehabilitation, Paediatric Physical Therapy, Radboud university medical center, P.O. 9101, 6500 HB, Nijmegen, The Netherlands. leo.vanvlimmeren@radboudumc.nl.
Raoul Hh EngelbertACHIEVE, Center of Applied Research, Faculty of Health, University of Applied Sciences, Tafelbergweg 51, 1000 CN, Amsterdam, The Netherlands.
Maaike PelsmaDepartment of Rehabilitation, Paediatric Physical Therapy, Radboud university medical center, P.O. 9101, 6500 HB, Nijmegen, The Netherlands.
Hans Mm GroenewoudDepartment for Health Evidence, Radboud university medical center, P.O. 9101, 6500 HB, Nijmegen, The Netherlands.
Magda M Boere-BoonekampDepartment Health Technology and Services Research, Institute for Governance Studies, University of Twente, P.O. 217, 7500 AE, Enschede, The Netherlands.
Maria Wg Nijhuis-van der SandenDepartment of Rehabilitation, Paediatric Physical Therapy, Radboud university medical center, P.O. 9101, 6500 HB, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a continuation of a prospective longitudinal cohort study in a healthy population on the course of skull shape from birth to 24 months, at 5 years of age, 248 children participated in a follow-up assessment using plagiocephalometry (ODDI-oblique diameter difference index, CPI-cranio proportional index). Data from the original study sampled at birth, 7 weeks, 6, 12, and 24 months were used in two linear mixed models. MAIN

findings(1) if deformational plagiocephaly (ODDI <104%) and/or positional preference at 7 weeks of age are absent, normal skull shape can be predicted at 5 years of age; (2) if positional preference occurs, ODDI is the highest at 7 weeks and decreases to a stable lowest value at 2 and 5 years of age; and (3) regarding brachycephaly, all children showed the highest CPI at 6 months of age with a gradual decrease over time.

conclusionThe course of skull deformation is favourable in most of the children in The Netherlands; at 5 years of age, brachycephaly is within the normal range for all children, whereas the severity of plagiocephaly is within the normal range in 80%, within the mild range in 19%, and within the moderate/severe range in 1%. Medical consumption may be reduced by providing early tailored counselling. What is Known: • Skull deformation prevalence increased after recommendations against Sudden Infant Death Syndrome, little is known about the longitudinal course. • Paediatric physical therapy intervention between 2 and 6 months of age reduces deformational plagiocephaly at 6 and 12 months of age. What is New: • The course of skull deformation is favourable in most of the children in The Netherlands; at 5 years of age, deformational brachycephaly is within the normal range for all children, whereas the severity of deformational plagiocephaly is within the normal range in 80%, within the mild range in 19%, and within the moderate to severe range in only 1%. • Paediatric physical therapy intervention does not influence the long-term outcome; it only influences the earlier decrease of the severity of deformational plagiocephaly.

Indexed as

Physical Therapy ModalitiesChild, PreschoolCraniosynostosesFemaleHumansInfantInfant, NewbornLongitudinal StudiesMalePlagiocephaly, NonsynostoticProspective StudiesRisk FactorsSkullSupine PositionDeformational brachycephalyDeformational plagiocephalyNewbornsSkull deformation

Identifiers

PMID27815732
PMCPMC5219011

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.