01/20/2026
Occupational Therapy Spotlight: Flat Head Syndrome
I met this little man in July. His mom had initial concerns something was “off” with his head shape. Birth history included a vacuum extraction attempt 3x, all which failed. His P*P had later diagnosed him with torticollis and plagiocephaly.
Upon my assessment, he had a hyperactive Moro reflex. He moved with strong extension patterns and did not like to flex his body. He was unable to tolerate sidelying positioning in play. He had limited cervical rotation, extension, and lateral flexion. He fed by bottles, shallowly latching.
We worked in OT on nervous system regulation, primitive reflex integration, muscle tension with stretching and massage. We worked on oral motor skills and desensitized his shallow latch to a deeper level latch. He began chiropractic care collaboratively for cervical work and head shaping.
Often times we need more support than just the conservative approach. He specifically had Oral ties released and followed up with helmet therapy for a few months.
FAST FORWARD ⏩ Today
Baby boy has improved significantly and now has a round head shape.
He is eating bottles and solids without difficulty.
He is on time for his developmental milestones.
His parents are confident that he will continue to thrive. They are no longer worried about his head and either am I!
These parents put in the work! “Tell me what I need to do for my baby.” I’m so proud of them ❤️🙌