Special Issue "Positional Cranial Deformation: Etiology, Natural History, Prevention, Treatment and Sequelae"
Deadline for manuscript submissions: 31 October 2019
Dr. Kevin M. Kelly
Associate Research Scientist, Department of Occupational and Environmental Health; Adjunct Associate Professor of Anthropology; University of Iowa, Iowa City, Iowa 52242, USA
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Interests: biological and biomedical anthropology; craniofacial morphology; bone biology; population health; mixed methods; data analysis; contemporary US
The highly successful 1992 American Academy of Pediatrics recommendation to have healthy infants sleep supine was followed by an increase in the prevalence of nonsynostotic occipital deformations (plagiocephaly), as evidenced by a notable rise in the number of infants being referred to craniofacial and neurosurgical clinics for surgical correction. The “epidemic” spawned a debate around the diagnosis and management of the condition that has not subsided. In 1998, the discussion was further complicated by the United States Food and Drug Administration’s decision to classify cranial orthoses as Class II devices. In 2014, the discourse was inflamed by a now highly criticized clinical trial that, for the first time, failed to see improvements following orthotic treatment. Orthotic correction of positional cranial deformation has long been the standard of care. Nevertheless, the necessity for treatment as well as the management and consequences of the condition continue to be debated. A range of issues remain unresolved—many familiar to those around in the 1990s. These include questions about the etiology and natural history of the condition, the need for standardization of terms, measurement and treatment guidelines, the cost-effectiveness of various treatment modalities, as well as the functional, development, and psychosocial consequences of condition. The objective of this Special Issue to address these issues in order to provide better-informed decisions about prevention and treatment.
Dr. Kevin M. Kelly
Manuscript Submission Information
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- Cranial flattening
- Flat head syndrome
- Risk factors
- Orthotic devices
- Treatment outcomes
- Motor skills