Department of Paediatrics: Child and Youth Health, The University of Auckland, New Zealand.
Arch Dis Child. 2011 Jan;96(1):85-90. doi: 10.1136/adc.2010.190934. Epub 2010 Sep 29.
To compare head shape measurements, parental concern about head shape and developmental delays in infancy with measurements obtained at follow-up at ages 3 and 4 years.
Longitudinal cohort study.
Initial assessments were conducted at a plagiocephaly clinic; follow-up assessments were conducted in the children's homes.
129 children with a mean age of 4 years (range 3 years 3 months to 4 years 9 months), all of whom were diagnosed in infancy with deformational plagiocephaly or brachycephaly.
Head shape measurements of cephalic index and oblique cranial length ratio; level of parental concern about head shape; and delays on parent-completed age-appropriate Ages and Stages Questionnaires.
61% of head shape measurements reverted to the normal range; 4% remained severe at follow-up. Brachycephaly improved more than plagiocephaly. Facial and frontal asymmetry reduced to almost nil. Most had good improvement, but 13% were categorised as having 'poor improvement'. Initially, 85% of parents reported being 'somewhat' or 'very' concerned; this decreased to 13% at follow-up. The percentage of children with ≥1 delay decreased from 41% initially to 11% at follow-up.
Overall, head shape measurements, parental concern and developmental delays in infancy showed a dramatic improvement when re-measured at 3 and 4 years of age.
比较头型测量、父母对头型的担忧以及婴儿期发育迟缓与 3 岁和 4 岁时随访时的测量结果。
纵向队列研究。
初始评估在偏头畸形诊所进行；随访评估在儿童家中进行。
129 名儿童，平均年龄为 4 岁（3 岁 3 个月至 4 岁 9 个月），所有儿童在婴儿期均被诊断为变形性斜头畸形或短头畸形。
头型测量的头指数和斜颅长度比；父母对头型的关注程度；以及父母完成的适合年龄的年龄与阶段问卷的延迟。
61%的头型测量值恢复到正常范围；4%在随访时仍为严重。短头畸形的改善程度超过斜头畸形。面部和额部不对称减少到几乎为零。大多数有较好的改善，但 13%被归类为“改善不佳”。最初，85%的父母报告“有些”或“非常”担心；随访时这一比例降至 13%。最初有≥1 项发育迟缓的儿童比例从 41%降至随访时的 11%。
总体而言，当在 3 岁和 4 岁时重新测量时，头型测量、父母的担忧和婴儿期的发育迟缓显示出显著改善。
