{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:12:53Z","timestamp":1777673573140,"version":"3.51.4"},"reference-count":50,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T00:00:00Z","timestamp":1700784000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jom-2023-0168_abs_001\">\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Deformational plagiocephaly (DP) is on the rise in pediatric patients. The current standard of care recommended for management is repositioning with possible addition of cranial orthoses. However, strong data are lacking to support these recommendations. Osteopathic manipulative treatment (OMT) is another treatment option for DP that is also lacking evidential support<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2023-0168_abs_002\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This retrospective chart review study investigated the effects of OMT at restoring a more symmetrical cranial bone configuration in children with DP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2023-0168_abs_003\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective chart review was performed on medical records of patients with a diagnosis of DP from three private practices over a 4-year period from September 2017 to December 2021. Inclusion criteria were diagnoses of DP by a referring physician and aged 10\u00a0months or less at the time of initial evaluation and treatment. Patients were excluded if they had confounding diagnoses such as genetic syndromes or severe torticollis. A total of 26 patients met these criteria, and their records were reviewed. The main outcome reviewed was anthropometric assessment of the cranium, mainly the cranial vault asymmetry index (CVAI).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2023-0168_abs_004\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Participants demonstrated a mean CVAI\u00a0\u2013 a measure that determines the severity of DP\u00a0\u2013 of 6.809 (\u00b13.335) (Grade 3 severity) at baseline, in contrast to 3.834 (\u00b12.842) (Grade 2 severity) after a series of OMT treatments. CVAI assessment after OMT reveals statistically significant (p\u22640.001) decreases in measurements of skull asymmetry and occipital flattening. No adverse events were reported throughout the study period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2023-0168_abs_005\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The application of OMT has shown potential benefit for reducing cranial deformity in patients with DP.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jom-2023-0168","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T14:53:46Z","timestamp":1700837626000},"page":"171-177","source":"Crossref","is-referenced-by-count":7,"title":["Effects of osteopathic manipulative treatment on children with plagiocephaly in the context of current pediatric practice: a retrospective chart review study"],"prefix":"10.1515","volume":"124","author":[{"given":"Hollis H.","family":"King","sequence":"first","affiliation":[{"name":"University of California San Diego School of Medicine, Center for Integrative Medicine , San Diego , CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Mai","sequence":"additional","affiliation":[{"name":"Osteopathy\u2019s Promise to Children , San Diego , CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Anne","family":"Morelli Haskell","sequence":"additional","affiliation":[{"name":"Osteopathy\u2019s Promise to Children , San Diego , CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8897-9812","authenticated-orcid":false,"given":"Kimberly","family":"Wolf","sequence":"additional","affiliation":[{"name":"Osteopathic Manipulative Medicine Department , Touro University California College of Osteopathic Medicine , Vallejo , CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Osteopathy\u2019s Promise to Children , San Diego , CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,11,24]]},"reference":[{"key":"2024032106185968150_j_jom-2023-0168_ref_001","doi-asserted-by":"crossref","unstructured":"Laughlin, J, Luerssen, TG, Dias, MS. 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