2019
DOI: 10.1007/s00381-019-04354-2
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The role of age on helmet therapy in deformational plagiocephaly and asymmetric brachycephaly

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Cited by 19 publications
(24 citation statements)
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“…18,21 In comparison to conservative therapy with rearrangement the molding helmet therapy is more effective and showed better results. 19,23 Xia et al showed in a systematic review of 7 studies that molding helmet therapy improves the outcome with a factor of 1.3 compared to conservative therapy with rearrangement. 24 Nevertheless, previous data are limited after completion of molding therapyandcurrentliteraturerarelyaddressesthisquestionaswellasthe topic of personal burden for children and parents during treatment.…”
Section: Discussionmentioning
confidence: 99%
“…18,21 In comparison to conservative therapy with rearrangement the molding helmet therapy is more effective and showed better results. 19,23 Xia et al showed in a systematic review of 7 studies that molding helmet therapy improves the outcome with a factor of 1.3 compared to conservative therapy with rearrangement. 24 Nevertheless, previous data are limited after completion of molding therapyandcurrentliteraturerarelyaddressesthisquestionaswellasthe topic of personal burden for children and parents during treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Cevik at el. showed that starting helmet therapy before the age of 6 months improved the outcome [18]. The Congress of Neurological Surgeons' guidelines recommend starting helmet therapy at a later age (usually over 8 months of age) [17].…”
Section: Discussionmentioning
confidence: 99%
“…According to the Congress of Neurological Surgeons' guidelines, published in 2016, helmet therapy should be performed after conservative treatment in children with moderate to severe plagiocephaly that is persistent or detected in a patient at an advanced age [17]. However, some studies have reported that helmet therapy is more effective in younger children and those with less severe cranial deformities [18][19][20]. Moreover, although helmet therapy has been used in children with brachycephaly, most studies have described its use for plagiocephaly.…”
Section: Introductionmentioning
confidence: 99%
“…Although the DP head shape has been described using the CHOA scale, no uniform scale exists for brachycephalic head shapes and a combination of the two deformations. Based on a variety of published scales in the literature and the author's clinical expertise, DP combined with brachycephaly was diagnosed when the CI was >90% (29,30). All cranial measurements were obtained using a three-dimensional digital scanner (STARscanner; Orthomerica Orlando, FL, USA), and anthropometric measurements were obtained with calipers by a sole experienced pediatric neurologist (E-HK).…”
Section: Case Definitionmentioning
confidence: 99%