Orthotic management of deformational plagiocephaly: Consensus clinical standards of care

Abstract

Objective: To establish consensus on definitive, actionable standards for the management of deformational plagiocephaly. Design: Three-stage Delphi Survey process based on best practice statements obtained through literature review. Setting: Electronic survey delivery. Participants: Review panel of 10 multidisciplinary subject matter experts (SMEs); survey panel of 30 cranial orthotists. Results: Fifty-four best practice statements were accepted in four categories: diagnosis, presentation and severity, initiating treatment, and management principles. Conclusions: Clinical practice can be guided en route to robust evidence as to the efficacy of various plagiocephaly management strategies, in pursuit of definitive standards.