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Positional plagiocephaly (PP) occurs in 20%–30% of infants and predicts higher risk for developmental delays in the toddler years. However, whether developmental outcomes are affected later in childhood, when cognitive and academic demands increase, is unclear.
In a longitudinal study, investigators at a craniofacial specialty clinic followed 179 children with PP and 141 healthy children (controls) from infancy through school age. The severity of PP (mild or moderate-to-severe) was assessed based on three-dimensional surface imaging of children's heads in infancy. When children were aged ≥7 years (mean age, 9 years), they completed standardized tests of cognition and academic achievement.
Overall, children with PP had cognitive and academic s…