2 March, 2026
What Happens at a Plagiocephaly Evaluation?
Many parents come to a plagiocephaly evaluation unsure what the visit will involve. They may have noticed a flat area on their baby’s head or heard it mentioned during a routine checkup, even though their baby otherwise seems comfortable and well.
A plagiocephaly evaluation is a structured, non-invasive assessment of a baby’s head shape, movement, and positioning patterns. The goal is to understand what is being observed and to help parents feel oriented, not to rush decisions.
How a plagiocephaly evaluation usually begins
Most evaluations begin with a pediatrician during a regular well-child visit. The pediatrician may notice flattening, asymmetry, or a consistent head-turning preference and suggest a closer look.
Parents are typically asked when they first noticed the head shape change, how their baby sleeps, and whether there is a preferred head position. These questions help place head shape within everyday routines.
What the pediatrician looks at
The pediatrician visually examines the baby’s head from the back, sides, and top. They look at symmetry, ear alignment, and forehead shape while also reviewing head circumference and general development.
This helps ensure head shape observations are understood within the broader picture of the baby’s growth and health.
When a pediatric physiotherapist is involved
In many cases, a pediatric physiotherapist is involved next, especially when movement or positioning appears to influence head shape.
The physiotherapist observes neck range of motion, posture, head control, and how the baby moves during play. Strong side preferences or limited turning are noted because they affect how pressure is distributed on the skull.
How head shape is measured
Many evaluations include objective head shape measurement using digital scans or standardized tools. These measurements describe symmetry and asymmetry in a consistent, visual way.
Why measuring is important
Measurements help parents understand what is being observed beyond visual judgment alone, and in some settings they are also used to support referrals or documentation.
What does not happen during an evaluation
A plagiocephaly evaluation does not involve needles, imaging, or painful procedures. Babies are not forced into positions, and no treatment is started during the visit.
Most evaluations take around 20–40 minutes, and findings are usually discussed during the same appointment.
How parents are guided afterward
A plagiocephaly evaluation does not involve needles, imaging, or painful procedures. Babies are not forced into positions, and no treatment is started during the visit.
Most evaluations take around 20–40 minutes, and findings are usually discussed during the same appointment.
What parents can do before an evaluation or if unsure
Some parents choose to use an at-home scan like Skully Care to get a clear reference of their baby’s head shape before deciding on next steps.
Common questions parents ask
Does the evaluation hurt my baby?
No, the assessment is gentle and observational.
Does an evaluation always lead to treatment?
No, many evaluations focus on understanding and monitoring.
Is physiotherapy always needed?
Physiotherapy is recommended when movement patterns influence head shape.
Does an evaluation mean a helmet is required?
No, helmet therapy is only discussed in specific situations.
Can parents request an evaluation themselves?
Yes, many parents seek evaluations directly for clarity.
Writen by Elly van der Grift
Elly van der Grift is the co-founder of Skully Care and a pediatric physiotherapist with over 30 years of experience. Her mission is to provide top care for babies with skull deformities. With her infectious enthusiasm, she shares simple, effective tips that can make a big difference for your baby. Working with Elly, you’ll feel confident and supported in your baby’s journey to better health.