Ho Joyce P K, Mallitt Kylie-Ann, Jacobson Erica, Reddy Rajesh
Faculty of Medicine, University of New South Wales, High Street, Kensington, NSW, Australia; Department of Neurosurgery, Sydney Children's Hospital, High Street, Randwick, NSW, Australia.
Faculty of Medicine, University of New South Wales, High Street, Kensington, NSW, Australia.
J Clin Neurosci. 2016 Jul;29:46-51. doi: 10.1016/j.jocn.2015.12.023. Epub 2016 Mar 2.
Positional plagiocephaly is the most common type of cranial asymmetry affecting infants. We aimed to investigate the effectiveness of helmet therapy compared to no helmet therapy in treating positional plagiocephaly in infants under the age of 1year. This retrospective review was conducted in an Australian paediatric hospital and included 171 patients recruited from outpatient clinics. Only 30 patients had positional plagiocephaly scores recorded at first and final consultations while 39 patients had diagonal measurements recorded at both visits. The mean age was 7.38months at initial consultation with a mean follow-up duration of 5.85months. Those who had helmet therapy had a significantly greater reduction in diagonal difference than those who did not use helmets (p=0.011). Therefore, there may be a role for helmet therapy in the treatment of severe positional plagiocephaly.
体位性斜头畸形是影响婴儿的最常见的颅骨不对称类型。我们旨在研究头盔疗法与不使用头盔疗法相比，在治疗1岁以下婴儿体位性斜头畸形方面的有效性。这项回顾性研究在一家澳大利亚儿科医院进行，纳入了171名从门诊招募的患者。只有30名患者在首次和最后一次会诊时记录了体位性斜头畸形评分，而39名患者在两次就诊时都记录了对角测量值。初次会诊时的平均年龄为7.38个月，平均随访时间为5.85个月。接受头盔疗法的患者对角差异的减少幅度明显大于未使用头盔的患者（p=0.011）。因此，头盔疗法在治疗严重体位性斜头畸形中可能有作用。
