The conference on which these findings are based and the printing and distribution of this publication were funded by a grant from the U.S. Department of Education (H235R040001). In recent years there have been reports in the medical literature of an increase in referrals to centers within the United States of infants with plagiocephaly without synostosis. While exact figures are unknown, due largely to the lack of consensus on criteria for diagnosis, a causal relationship has been suggested between this increase and a recommendation by the American Academy of Pediatrics in 1992 that infants should be placed on their backs to sleep to reduce the risk of sudden infant death syndrome. Regardless of potential etiological factors and the lack of randomized control studies to better understand the natural history of this condition, the use of cranial molding orthoses is often referenced along with recommendations on repositioning in any number of studies published about deformational plagiocephaly. Patient referral begets responsibility-a responsibility of the treating orthotist to fully understand the complex nature of this deformity. The conference of medical doctors and allied health professionals set out to seek consensus on how best to approach the orthotic treatment of infants with deformational plagiocephaly.
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