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Impact of Torticollis Associated With Plagiocephaly on Infants’ Motor Development

Cabrera-Martos, Irene MSc*; Valenza, Marie Carmen PhD*; Valenza-Demet, Gerald PhD*; Benítez-Feliponi, Ángela PhD; Robles-Vizcaíno, Concepción PhD; Ruíz-Extremera, Ángeles PhD

The Journal of Craniofacial Surgery: January 2015 - Volume 26 - Issue 1 - p 151–156
doi: 10.1097/SCS.0000000000001402
Original Articles

Objective This study investigated whether torticollis (congenital or acquired) in infants with plagiocephaly affects the achievement of specific gross motor milestones.

Methods A total of 175 infants affected by plagiocephaly with or without torticollis were recruited and included in this prospective trial. Anthropometric and clinical variables were recorded at baseline. The infants were included in a physiotherapy treatment program, and they were monthly assessed until hospital discharge.

Results Significant differences (P < 0.05) were observed in the achievement of rolling over, crawling, and standing skills depending on the specific profile (plagiocephaly and plagiocephaly with congenital or acquired torticollis). After adjusting for the severity of the plagiocephaly and the age at referral, the torticollis was significantly (P < 0.05) associated with crawling and standing skills.

Conclusions The findings suggest that the presence or absence of congenital or acquired torticollis is an important factor that affects gross motor development in infants with plagiocephaly.

From the *Department of Physical Therapy, Faculty of Health Sciences, University of Granada; †Early Care and Monitoring Unit, San Cecilio Clinical Hospital; and ‡Department of Pediatrics, Faculty of Medicine, University of Granada, Granada, Spain.

Received April 8, 2014.

Accepted for publication October 15, 2014.

Address correspondence and reprint requests to Marie Carmen Valenza, PhD, Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Av. Ilustración SN, 18007, Granada, Spain; E-mail:

IC-M received a grant from the Ministry of Education, Culture and Sport of Spain to support this research (FPU grant AP2010-3603).

The remaining authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.