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What is positional plagiocephaly?

Plagiocephaly, or flat head syndrome, is when a baby’s head is flatter on either the front, back or side. Continued pressure on a baby’s skull can cause the head shape to change as the skull plates are still relatively soft.

Until a baby is about one year old, the bones that make up their skull are mouldable and flexible, which means the head can change shape easily.

Different types of plagiocephaly

There are three common head shape patterns often grouped under positional plagiocephaly. Some babies may have features of more than one pattern.

These are the most common types:

Plagiocephaly

This is the most common form, making one side or spot on your baby’s head appear flat.

Signs to look out for:

  • flat area on one side at the back of the head
  • flattening at the front on the opposite side
  • ears looking misaligned
  • a bulge on the forehead
  • slight facial asymmetry

 

Brachycephaly

Brachycephaly is when a baby’s head appears wider and shorter than expected.

Symptoms include:

  • a short, wide head shape
  • flattening at the back of the head
  • a head shat that my appear higher at the crown
  • a face that may appear wider
  • ears that may appear to stick out slightly

Scaphocephaly

Scaphocephaly is when a baby’s head shape looks unusually long and narrow, sometimes described as “boat-shaped” or similar to a rugby ball.

Signs to look out for:

  • a head that looks longer compared to its width
  • a forehead that sticks out slightly
  • a more prominent occipital area at the back of the head

This head shape can be similar to sagittal craniosynostosis, which is a separate medical condition. If you are concerned, speak with your GP, paediatrician or another appropriate medical professional.

What causes plagiocephaly?

Plagiocephaly is usually caused by pressure on part of the skull. This can happen before birth, but it is more common after birth. Premature babies are more likely to develop a flat head shape because their skull bones are softer and they may spend longer lying down.

Common causes include:

  • spending a lot of time lying on their back
  • preferring to turn their head one way
  • torticollis (tight neck muscles that make it harder to move their head)
  • premature birth: Premature babies have even softer skulls and often spend more time lying down in hospital care

Back to Sleep campaign

The Back to Sleep campaign raises awareness about the importance of placing babies on their backs when sleeping to reduce the risk of Sudden Infant Death Syndrome (SIDS), or cot death. Since its launch, the campaign has significantly lowered the number of these deaths. However, it’s also been linked to an increase in babies developing flat head spots.

For your baby’s safety, always place them on their back to sleep, even if they have plagiocephaly.

Treatment

If your baby has a flat head shape, the first step is often repositioning. Up to around four to five months of age, repositioning and tummy time may help head shape improve naturally.

Try to make sure your baby is not always resting on the same area of their head. Encourage them to turn their head in different directions when lying down and give them plenty of tummy time while they are awake.

If you are still concerned about your baby’s head shape after trying these techniques, cranial remoulding therapy may be an orthotic treatment option for some babies.

Learn more about our plagiocephaly treatment.

Treat plagiocephaly with the LOCband Lite helmet

Backed by clinical research, LOCband Lite is a non-invasive cranial remoulding helmet designed to support a more balanced head shape over time. Results vary depending on age, severity and daily wear time.

 

“From the very start, everyone at the London Orthotic Consultancy was professional and friendly. Every step of the way was well-explained and the fitting was quick. It only took Magnus one day to get used to the band, and after that, he wasn’t bothered by it at all. And, most importantly, it worked!”

Maria, Magnus’s mother – Plagiocephaly patient

Guides you may find helpful

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