颅骨重塑矫形器治疗起始年龄与小儿畸形性斜头畸形治疗效果的关系
Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly.
作者信息
Han Mi-Hyang, Kang Jin Young, Han Hye Young, Cho Yun-Hwa, Jang Dae-Hyun
机构信息
Department of Rehabilitation, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Dongsu-ro 56, Bupyeong-gu, Incheon, 21431, South Korea.
Seoul Asan Rehabilitation Clinic, Incheon, South Korea.
出版信息
Childs Nerv Syst. 2017 Aug;33(8):1349-1356. doi: 10.1007/s00381-017-3427-9. Epub 2017 May 8.
PURPOSE
The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly.
METHODS
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.
RESULTS
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.
CONCLUSION
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.
目的
本研究旨在探讨畸形斜头畸形患儿开始颅骨重塑矫形治疗的最佳年龄。
方法
回顾性分析310例畸形斜头畸形患者的病历，分析初始和最终的颅穹不对称指数（CVAI）、开始治疗的年龄、治疗持续时间、CVAI的平均变化、改善率和治疗成功率。我们根据开始治疗的年龄分组比较结果。
结果
3、4、5个月开始治疗的患者在改善率和颅骨重塑矫形治疗持续时间方面无显著差异。然而，6个月后开始治疗时，CVAI改善率显著降低，治疗持续时间显著延长。
结论
考虑到根据头部生长特性的自发消退效应，5个月是开始对畸形斜头畸形进行颅骨重塑矫形治疗的最佳时期。
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