Torticollis and plagiocephaly in infancy therapeutic strategies

L A van Vlimmeren, P J M Helders, L N A van Adrichem, R H H Engelbert

Research output: Contribution to journalArticleAcademicpeer-review

43 Citations (Scopus)


BACKGROUND: Asymmetry in infancy is a diagnosis with a large spectrum of features, expressing an abnormal shape of parts of the body or unequal postures and movements, which might be structural and/or functional, with localized or generalized expression.

PURPOSE: The purpose of the present study is to highlight different therapeutic aspects of the most occurring asymmetries in infancy: congenital muscular torticollis, positional torticollis and plagiocephaly, based on best evidence in current literature.

RESULTS: A flow chart is presented showing different pathways in therapeutic strategies, such as physical therapy, orthotic devices (helmet treatment and Dynamic Orthotic Cranioplasty) and surgery.

CONCLUSION: It is concluded that there are different views towards management on torticollis and plagiocephaly. A systematic therapeutic management to evaluate these asymmetries is indicated. The presented therapeutic flow chart might serve as a basis in order to achieve uniformity in therapeutic thinking and performance.

Original languageEnglish
Pages (from-to)40-6
Number of pages7
JournalPediatric Rehabilitation
Issue number1
Publication statusPublished - 15 Dec 2005


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