Torticollis, Head Preference & Flat Head /Plagiocephaly

Is Your Baby Always Looking One Way?

Many babies develop a preference for turning their head to one side. This is often referred to as a head preference and may be associated with a torticollis, a condition where the muscles on one side of the neck are tighter than the other.

When babies consistently look in one direction, they may spend more time resting on the same part of their head. Over time, this can lead to a flattening of the skull known as positional plagiocephaly or flat head.

What Is Torticollis?

Torticollis is a common condition in infancy where a baby may:

  • Prefer looking to one side

  • Have difficulty turning their head equally in both directions

  • Develop a head tilt

  • Show a preference when feeding

  • Become upset when encouraged to look the opposite way

Early assessment and treatment can help improve neck movement, encourage symmetrical development, and reduce the risk of developing a flat head shape.

What Is Plagiocephaly (Flat Head Syndrome)?

Positional plagiocephaly occurs when a baby's head develops a flattened area due to prolonged pressure on one part of the skull.

You may notice:

  • Flattening at the back or side of the head

  • A preference to look in one direction

  • Uneven facial features

  • One ear appears slightly further forward than the other

  • Difficulty turning the head equally in both ways

Plagiocephaly is common, particularly since the introduction of safe sleeping recommendations that encourage babies to sleep on their backs.

How Can Physiotherapy Help?

At Babies on the Move, we assess your baby's:

  • Neck movement, including tightness

  • Head shape: look for asymmetry

  • Muscle strength

  • Motor development

  • Feeding and positioning preferences

  • Full head-to-toe assessment

Why Early Assessment Matters

Research and clinical guidelines suggest that earlier intervention for torticollis and plagiocephaly is associated with improved outcomes. The earlier a baby develops movement variety and symmetrical positioning, the greater the opportunity to influence head shape and motor development during this period of rapid growth.

Why Choose Babies on the Move?

Our physiotherapists have extensive experience assessing and managing babies with torticollis, head preference, and plagiocephaly. By visiting your home, we can assess your baby's movement and positioning in their natural environment and provide practical solutions that fit seamlessly into everyday family life.

References

Royal Children's Hospital Melbourne. Clinical Practice Guideline: Congenital Torticollis.

Royal Children's Hospital Melbourne. Clinical Practice Guideline: Positional Plagiocephaly.

Sydney Children's Hospitals Network. Baby Head Shape and Development Resources.