• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Pediatrics

Plagiocephaly/brachycephaly associated with lower cognitive and academic achievement scores

byMatthew Lin, MDandLeah Carr, MD
January 11, 2019
in Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Children with positional plagiocephaly and/or brachycephaly (PPB) had significantly lower scores in global cognitive ability (GCA), nonverbal reasoning, verbal, and working memory scores compared to unaffected controls undergoing neuropsychological assessment.

2. Children with PPB also had lower achievement scores for math, reading and writing, but these differences were not significant.

Evidence Rating: Level 1 (Excellent)

Study Rundown: Children with PPB have demonstrated mild developmental delays during infancy and toddlerhood compared to unaffected children. Less is known about how these differences evolve during school-age years. In this prospective cohort study, researchers at Seattle Children’s Craniofacial Center aimed to evaluate differences in cognition (Differential Ability Scales, Second Edition [DAS-2 scores]) and academic achievement (Wechsler Individual Achievement Test, Third Edition [WIAT-3 scores]) in school-age children with PBB compared to controls. In adjusted analyses for sex, race, age and socioeconomic status (SES), children with PPB generally had significantly lower mean scores for DAS-2, including GCA, nonverbal reasoning, verbal, and working memory scores. In adjusted analyses for WIAT-3 scores, children with PBB had lower mathematics, total reading, and written expression scores compared to controls, but these differences were not significant. The mean adjusted DAS-2 and WIAT-3 scores for both groups still fell within the average range relative to test norms, which the authors acknowledge might be secondary to having at baseline, a low risk biological and social sample. Additionally, in analyses stratifying PPB by severity, case-control differences were consistently larger for moderate to severe PPB compared to mild PPB children. Limitations of the study included differential attrition and bias introduced from recruitment from a subspecialty clinic and participant registry. Pending future prospective data that is more population-based, the authors suggest that for pediatricians, PPB may serve as an early marker for developmental vulnerability (i.e. neuromotor deficits limiting physical repositioning), warranting higher developmental vigilance for children with PPB.

Click to read the study, published today in Pediatrics

Relevant Reading: Plagiocephaly and brachycephaly in the first two years of life: a prospective cohort study

RELATED REPORTS

Telehealth treatment is effective in managing behavior problems in children with developmental delay

Timing of developmental milestones varies greatly in children with autism

Early intervention services for children exposed to lead associated with improved standardized test performance

In-Depth [prospective cohort]: A total of 149 out of 237 controls and 187 out of 235 children with PPB were included in the final analysis, and 8 children out of both the control and PPB group were unable to participate in the school-age assessment. Two pediatricians scored skull deformity on a 3-point system using 3D surface images and had excellent (κ = 0.80) and good (κ = 0.72) interrater agreement for distinguishing between the presence versus absence of skull deformity and severity of skull deformity, respectively. Children born premature (<35 weeks’ gestational age), with neurodevelopmental conditions and sensory impairments were excluded. Both groups were predominantly male (PPB = 66%, control = 57%), white and non-Hispanic (PPB = 69%, control = 60%) and high socioeconomic status. The mean age of follow-up in the PPB and controls groups was 9 ± 0.8 years and 8.8 years ± 0.6 respectively. Primary outcomes included DAS-2 and WIAT-3 scores. In adjusted analyses for DAS-2 scores, the PPB group had significantly lower GCA (mean difference effect size [ES] = – 4.26, p = 0.002), nonverbal reasoning, (ES = 0 4.00, p <0.01), verbal (ES = -4.66, p = 0.001) and working memory (ES = -3.33, p = 0.01) scores. There were no significant differences for DAS-2 processing speed and spatial scores between the 2 groups. In adjusted analyses for WIAT-3 scores, the PPB group had lower mathematics, total reading, and written expression scores, but these findings were not statistically significant. Despite these differences, the mean DAS-2 and WIAT scores for both groups were still within normal test reference ranges. Finally, analyses stratifying the severity of PBB showed that mean differences relative to controls were greater in children with moderate to severe PPB versus mild PPB.

Image: PD

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: brachycephalycraniofacial medicinedevelopmental pediatricspositional plagiocephaly
Previous Post

Hybrid minimally invasive esophagectomy associated with lower complication rates compared to open esophagectomy

Next Post

#VisualAbstract: Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

RelatedReports

AAP recommends telemedicine to improve access to care
Neurology

Telehealth treatment is effective in managing behavior problems in children with developmental delay

January 19, 2023
Quick Take: Association of Prenatal Exposure to Air Pollution with Autism Spectrum Disorder
Chronic Disease

Timing of developmental milestones varies greatly in children with autism

August 17, 2022
Meeting families, demographic information affect child abuse work-up
Chronic Disease

Early intervention services for children exposed to lead associated with improved standardized test performance

March 16, 2022
Infant room-sharing associated with less nighttime sleep and unsafe sleep practices
Neurology

Novel diagnostic modalities support evaluation of deformational plagiocephaly in children

January 24, 2022
Next Post
#VisualAbstract: Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

#VisualAbstract: Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

Using HEART score to risk stratify patients with chest pain is safe but underutilized in the ED

Low-dose intracoronary alteplase unlikely to improve outcomes in STEMI patients treated with primary PCI

The REACH trial: hydroxyurea safe and effective for sickle cell anemia in African children

The REACH trial: hydroxyurea safe and effective for sickle cell anemia in African children

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Intravenous hydrocortisone may reduce risk of kidney failure in patients with sepsis
  • Sotatercept reduces adverse event risk in high-risk pulmonary arterial hypertension
  • Oral semaglutide reduces cardiovascular event rates in high-risk patients
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.