Does Helmet Therapy Influence the Ear Shift in Positional Plagiocephaly?

Kluba, Susanne; Schreiber, Robert A.; Kraut, Wiebke; Meisner, Christoph; Reinert, Siegmar; Krimmel, Michael

doi:10.1097/scs.0b013e31825653fa

Cited by 19 publications

(19 citation statements)

References 4 publications

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“…Cephalic index (CI) is head width (side to side) divided by head length (front to back) multiplied by 100 [31]. Cranial vault asymmetry (CVA), the difference between diagonal measurements over the cranial vault or top of the head, was also used to assess head shape [32]. This was achieved by measuring from the frontozygomaticus (fz) (superolateral orbital rim) to a point that is approximately 30°from the opisthocranion (op) on the opposite side (Fig.…”

Section: Methodsmentioning

confidence: 99%

Long-term outcomes in treatment of deformational plagiocephaly and brachycephaly using helmet therapy and repositioning: a longitudinal cohort study

Naidoo¹,

Skolnick²,

Patel³

et al. 2015

Childs Nerv Syst

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Section: Methodsmentioning

confidence: 99%

Long-term outcomes in treatment of deformational plagiocephaly and brachycephaly using helmet therapy and repositioning: a longitudinal cohort study

Naidoo¹,

Skolnick²,

Patel³

et al. 2015

Childs Nerv Syst

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“…Kluba et al [24] reported the effects of helmet therapy on pre-existing ear shift in patients with DP, implying that helmet therapy has a corrective effect. However, the same study showed that ear shift can arise de novo during helmet therapy in patients who did not have ear shift at the beginning of treatment.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly

et al. 2013

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ObjectiveTo compare effectiveness on correcting cranial and ear asymmetry between helmet therapy and counter positioning for deformational plagiocephaly (DP).MethodsRetrospective data of children diagnosed with DP who visited our clinic from November 2010 to October 2012 were reviewed. Subjects ≤10 months of age who showed ≥10 mm of diagonal difference were included for analysis. For DP treatment, information on both helmet therapy and counter positioning was given and either of the two was chosen by each family. Head circumference, cranial asymmetry measurements including diagonal difference, cranial vault asymmetry index, radial symmetry index, and ear shift were obtained by 3-dimensional head-surface laser scan at the time of initiation and termination of therapy.ResultsTwenty-seven subjects were included: 21 had helmet therapy and 6 underwent counter positioning. There was no significant difference of baseline characteristics, head circumferences and cranial asymmetry measurements at the initiation of therapy. The mean duration of therapy was 4.30±1.27 months in the helmet therapy group and 4.08±0.95 months in the counter positioning group (p=0.770). While cranial asymmetry measurements improved in both groups, significantly more improvement was observed with helmet therapy. There was no significant difference of the head circumference growth between the two groups at the end of therapy.ConclusionHelmet therapy resulted in more favorable outcomes in correcting cranial and ear asymmetry than counter positioning on moderate to severe DP without compromising head growth.

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“…43 Of the 21 primary research articles, there were 7 Class II studies, 10,11,13,17,25,31,36 1 Class III study, 33 and 13 Class IV studies. 5,6,9,12,[14][15][16]20,26,35,37,39,41 …”

Section: Resultsmentioning

confidence: 99%

“…Six articles were excluded because they were not directly related to cranial orthoses therapy in deformational plagiocephaly (n = 5), or involved nonhuman subjects (n = 1). Of the remaining 36 papers, 21 were primary research literature articles, 5,6,[9][10][11][12][13][14][15][16][17]20,25,26,31,33,[35][36][37]39,41 12 were reviews, 7,8,[22][23][24]29,30,32,34,38,40,42 2 were letters, 3,18 and 1 described the methodology of an ongoing randomized controlled trial. 43 Of the 21 primary research articles, there were 7 Class II studies, 10,11,13,17,25,31,36 1 Class III study, 33 and 13 Class IV studies.…”

Section: Resultsmentioning

confidence: 99%

“…The issue of ear position was made even more interesting in a study by Kluba et al 14 They observed that parents often noted ear shifts because they often have infants in their laps, and ear displacements were particularly apparent when observed from the vantage point of the parent from above. In their study, 40% of babies with deformational plagiocephaly without initial ear shift showed subsequent increased ear shift after being treated with cranial orthoses.…”

Section: Helmet Therapy In Comparison With Conservative Treatmentsmentioning

confidence: 99%

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Orthotic (helmet) therapy in the treatment of plagiocephaly

Goh

Bauer²,

Durham³

et al. 2013

FOC

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Object The goal of this study was to review the current literature on orthotic (helmet) therapy use in the treatment of deformational plagiocephaly. Methods PubMed was used to search English articles using the medical subject headings “deformational plagiocephaly” and “orthosis,” and “deformational plagiocephaly” and “helmet.” Results Forty-two articles were found. There were no Class I studies, 7 Class II studies, 1 Class III study, and 13 Class IV studies. Cranial orthoses have been shown to be effective in treating deformational plagiocephaly. It continues to be debated as to whether the statistical significance of treatment with cranial orthoses compared with conservative therapies is clinically significant. Children older than 12 months of age with deformational plagiocephaly may still benefit from orthotic therapy. The long-term effects of orthotic therapy are controversial. Conclusions There is a lack of Class I literature evidence supporting the use of helmet therapy in deformational plagiocephaly. There are controversies surrounding the use of orthotic therapy such as appropriate use, cost, use in older children, and long-term outcomes. Clinical indications for orthotic therapy need to be better defined with further research studies.

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Does Helmet Therapy Influence the Ear Shift in Positional Plagiocephaly?

Cited by 19 publications

References 4 publications

Long-term outcomes in treatment of deformational plagiocephaly and brachycephaly using helmet therapy and repositioning: a longitudinal cohort study

Long-term outcomes in treatment of deformational plagiocephaly and brachycephaly using helmet therapy and repositioning: a longitudinal cohort study

Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly

Orthotic (helmet) therapy in the treatment of plagiocephaly

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