Correlation between deformational plagiocephaly and/or brachycephaly and motor developmental delay in infants

XU Wei; HE Chengchuan; CHEN Xuejiao; HUANG Mingshou; SONG Guan

doi:10.11852/zgetbjzz2023-0665

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (5) : 480-483. DOI: 10.11852/zgetbjzz2023-0665

Original Articles

Correlation between deformational plagiocephaly and/or brachycephaly and motor developmental delay in infants

XU Wei¹, HE Chengchuan¹, CHEN Xuejiao¹, HUANG Mingshou¹, SONG Guan²

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Abstract

Objective To analyze the correlation between deformational plagiocephaly and/or brachycephaly (DPB) and motor developmental delay in infants, so as to provide theoretical basis for early motor development screening and intervention in DPB infants. Methods A total of 7 826 children aged 6 - 12 months who visited Mianyang Maternal & Child Health Care Hospital from January 2021 to December 2022 were inlcuded in this study. DPB infants were selected as the study subjects, and the prevalence rate was analyzed.2 761 DPB infants were divided into mild, moderate, and severe DPB groups, and 1 900 normal children were included as the control group. Peabody Developmental Motor Scale-2 (PDMS-2) was used to evaluate the levels of gross and fine motor development in children in each case group and control group. Univariate analysis and LSD-t test were used to analyze the differences in gross motor quotient (GMQ) and fine motor quotient (FMQ) of children in each group. χ² test was used to analyze the rate of motor developmental delay in children in each group. Results The prevalence rate ofDPB was 35.47%. There were statistically significant differences in GMQ and FMQ among the mild DPB group, moderate DPB group, severe DPB group, and control group (F=171.271, 194.877, P<0.05). Further statistical comparison showed that there was no statistically significant difference in GMQ and FMQ between mild DPB group and control group (P＞0.05). The GMQ and FMQ of the moderate and severe DPB groups were significantly lower than those of the control group (P<0.05). There was no statistically significant difference in the rate of developmental delay in gross and fine motor development between each case group and the control group (χ²=7.478, 5.777, P＞0.05). Conclusions The prevalence of DPB in Mianyang area is relatively high, and DPB do not increase the probability of motor development delay. However, infants with moderate to severe DPB have significantly lower levels of motor development compared to healthy infants. It is recommended to screen infants with DPB as soon as possible, and conduct motor development screening and exercise promotion for infants with moderate to severe DPB.

Key words

deformational plagiocephaly and/or brachycephaly / Peabody Developmental Motor Scale-2 / motor development

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XU Wei, HE Chengchuan, CHEN Xuejiao, HUANG Mingshou, SONG Guan. Correlation between deformational plagiocephaly and/or brachycephaly and motor developmental delay in infants[J]. Chinese Journal of Child Health Care. 2024, 32(5): 480-483 https://doi.org/10.11852/zgetbjzz2023-0665

References

[1] Rogers GF, Deformational plagiocephaly, brachycephaly, and scaphocephaly. Part I:Terminology, diagnosis, and etiopathogenesis[J]. J Craniofac Surg, 2011, 22(1):9-16.
[2] 马良,董荣芝,裴连平,等.扁头综合征的危险因素[J].中国康复理论与实践,2015,21(3):326-329.
Ma L, Dong RZ, Pei LP, et a1.Risk factors for plagiocephaly and brachycephaly[J].Chin J Rehabil Theory Pract, 2015, 21(3):326-329. (in Chinese)
[3] Kim EH, Kim KE, Jeon J, et al. Delayed motor development and infant obesity as risk factors for severe deformational plagiocephaly: A matched case-control study[J]. Front Pediatr, 2020, 8:582360.
[4] 郭沙沙.扁头综合征相关研究进展[J]. 中国儿童保健杂志,2019,27(10):1084-1086,1101.
Guo SS. Research progress on deformational plagiocephaly and/or brachycephaly[J]. Chin J Child Health Care, 2019, 27(10):1084-1086, 1101. (in Chinese)
[5] Park KM, Tripathi NV, Mufarrej FA. Quality of life in patients with craniosynostosis and deformational plagiocephaly: A systematic review[J]. Int J Pediatr Otorhinolaryngol, 2021, 149(2):110873.
[6] 李明,武元.运动发育迟缓的早期识别与诊断[J].中国实用儿科杂志, 2016, 31(10):743-747.
Li M, Wu Y. Early identification and diagnosis of motor developmental delay[J].Chin J Practical Pediatrics,2016, 31(10):743-747.(in Chinese)
[7] 陈俊霖,周文智,杨霞. Peabody运动发育量表第二版与Gesell量表评估儿童运动功能的相关性分析[J]. 中国儿童保健杂志, 2022, 30(2):203-206.
Chen JL, Zhou WZ, Yang X. Correlation analysis of the motor development assessment between Peabody Motor Development Scale-2 and Gesell Development Scale[J]. Chin J Child Health Care, 2022, 300(2):203-206. (in Chinese)
[8] Bialocerkowski AE, Vladusic SL, Wei NC. Prevalence, risk factors, and natural history of positional plagiocephaly:A systematic review[J]. Dev Med Child Neurol, 2008, 50(8):577-586.
[9] Elisa B, Sisti M, Basaglia N, et al. Prevalence and characteristics of positional plagiocephaly in healthy full-term infants at 8-12 weeks of life[J]. Eur J Pediatr, 2018, 177(10):1547-1554.
[10] Graham T, Millay K, Wang J,et al. Significant factors in cranial remolding orthotic treatment of asymmetrical brachycephaly[J]. Clin Med, 2020,9(4):1027.
[11] 黄嘉蕊,韦敏,俞哲元.枕部斜头畸形的测量与分型[J].组织工程与重建外科杂志, 2019, 15(6):435-438.
Huang JR, Wei M, Yu ZY. The clinical measurement and classification of plagiocephaly[J]. J Tissue Engineering Reconstructive Surgery, 2019, 15(6):435-438. (in Chinese)
[12] 郑韵,徐开寿,文蕴斯,等.矫形头盔对斜头畸形婴儿头颅重塑的影响[J].中华物理医学与康复杂志, 2021, 43(6):499-503.
Zheng Y, Xu KS, Wen YS, et al. The efficacy of an orthotic helmet in cranial remodeling of infants with deformational plagiocephaly[J]. Chin J Phys Med Rehabil, 2021, 43(6):499-503. (in Chinese)
[13] Knorr A, Giambanco D, Staude MV, et al. Feasibility and safety of the preemie orthotic device to manage deformational plagiocephaly in extremely low birth weight infants[J]. Adv in Neonatal Care, 2019,19: 226-235.
[14] Lennartsson F. Nonsynostotic plagiocephaly: Prevention strategies in child health care[J]. J Clin Med, 2020, 9(12):3946.
[15] Lennartsson F, Nordin P. Nonsynostotic plagiocephaly: A child health care intervention in Skaraborg, Sweden.[J].BMC Pediatr, 2019, 19(1):48.
[16] Riklin E, Calandrillo D, Blitz A, et al. Examining the psychosocial needs of adolescents with craniofacial conditions: A mixed-methods approach[J]. Cleft Palate Craniofac J, 2020, 57(2):177-185.
[17] Collett BR, Wallace ER, Kartin D, et al. Cognitive outcomes and positional plagiocephaly[J]. Pediatrics, 2019, 143: (2):e20182373.
[18] Collett BR, Kartin D, Wallace ER, et al. Motor function in school-aged children with positional plagiocephaly or brachycephaly[J]. Pediatr Phys Ther, 2020, 32: 107-112.
[19] 赵雪晴,张雨平,廖伟,等.393例姿势性斜头的INFANIB运动发育评估[J].中国儿童保健杂志, 2014, 22(11):1154-1156.
Zhao XQ, Zhang YP, Liao W, et al. Infant neurological international battery motor development evaluation of 393 positional plagiocephaly infants[J]. Chin J Child Health Care, 2014, 22(11):1154-1156. (in Chinese)
[20] Hussein MA, Woo T, Yun IS, et al. Analysis of the correlation between deformational plagiocephaly and neurodevelopment delay[J]. J Plast Reconstr Aesthet Surg, 2018, 71(1):112-117.
[21] 周峰, 蒋黎艳, 高萍萍. Peabody运动发育量表结合配套运动训练方案在运动发育迟缓儿童中早期干预效果[J]. 中国儿童保健杂志, 2022, 30(6):603-606.
Zhou F, Jiang LY, Gao PP. Effect of Peabody Developmental Motor Scales and the motor activities program in early intervention of children with motor development retardation[J]. Chin J Child Health Care, 2022, 30(6):603-606. (in Chinese)
[22] 徐璇,陈茉弦,唐欣,等.Peabody运动发育量表在脑性瘫痪中的应用研究进展[J].中国康复医学杂志, 2019, 34(9):1121-1124.
Xu X, Chen MX, Tang X, et al. Research progress on the application of Peabody motor development scale in cerebral palsy[J]. Chin J Rehabil Med, 2019, 34(9):1121-1124. (in Chinese)
[23] Collett BR, Aylward EH, Berg J, et al. Brain volume and shape in infants with deformational plagiocephaly[J]. Childs Nerv Syst, 2012, 28(7):1083-1090.
[24] 潘维伟,廖姣姣,童笑梅. 婴儿体位性斜头异常的随访和预后研究[J]. 中国当代儿科杂志,2023, 25(4):368-373.
Pan WW, Liao JJ, Tong XM. Follow-up and prognostic study of infants with positional plagiocephaly[J]. Chin J Contemp Pediatr, 2023,25(4):368-373. (in Chinese)