Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly
| Autor: | Jin Young Kang, Yun-Hwa Cho, Mi-Hyang Han, Hye Young Han, Dae-Hyun Jang |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Orthotic Devices medicine.medical_specialty Pediatrics Craniofacial abnormality Craniosynostoses 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Cranial vault asymmetry Longitudinal Studies Orthodontics Plagiocephaly Nonsynostotic business.industry Medical record Skull Head growth Infant General Medicine medicine.disease Treatment Outcome Improvement rate Pediatrics Perinatology and Child Health Female Head Protective Devices Bone Remodeling Neurology (clinical) Neurosurgery Deformational plagiocephaly business Craniotomy 030217 neurology & neurosurgery |
| Zdroj: | Child's Nervous System. 33:1349-1356 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s00381-017-3427-9 |
| Popis: | The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly. Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vault asymmetry index (CVAI), age when starting therapy, duration of therapy, mean change of CVAI, improvement rate, and treatment success were analyzed. We compared outcomes according to the groups divided by ages starting therapy. There were no significant differences in improvement rate and duration of cranial-remolding-orthosis therapy among patients starting therapy at the age of 3, 4, and 5 months. However, when starting therapy after the age of 6 months, the rates of CVAI improvement were significantly lower and the duration of therapy was significantly increased. Considering the spontaneous resolution effect according to the head growth nature, the age 5 month is the optimal period to start cranial-remolding-orthosis therapy for deformational plagiocephaly. |
| Databáze: | OpenAIRE |
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