Department of Health Sciences, Cavidito Research Team, Health Research Centre, University of Burgos, 09001 Burgos, Spain.
Department of Educational Sciences, Discondu Research Team, Educational Research Centre, University of Burgos, 09001 Burgos, Spain.
Int J Environ Res Public Health. 2020 Apr 10;17(7):2612. doi: 10.3390/ijerph17072612.
: To compare cranial helmet therapy (CHT) and physiotherapy (PT) for the effective treatment of positional plagiocephaly in infants in terms of improving functional recovery. This was a prospective cohort study involving 48 infants between 5-10 months of age with cranial deformities. The Cranial Vault Asymmetry Index (CVAI) and the Brunet-Lezine scale were calculated at the initiation of the study and after 40 treatment sessions. : The infants' first assessment showed a delay in overall development areas with a global developmental quotient (DQ) (posture, coordination, sociability, and language) of 80.15. Although developmental improvements were observed in both groups in the Brunet-Lezine scale after treatment, the MANCOVA test showed no significant differences (F(5) = 0.82, = 0.506, eta = 0.09). The CVAI reduced to 4.07% during the final evaluation in the cranial helmet group and 5.85% in the physiotherapy group without any significant differences between the two therapies ( = 0.70). : No statistically significant differences were found between CHT and PT. After treatment, improvements from baseline measurements were observed in each of the readings of cranial deformity.
: 比较颅骨头盔治疗（CHT）和物理治疗（PT）在改善功能性恢复方面对婴儿体位性斜头畸形的有效治疗。这是一项前瞻性队列研究，涉及 48 名 5-10 个月大颅骨畸形的婴儿。在研究开始时和 40 次治疗后计算颅顶不对称指数（CVAI）和 Brunet-Lezine 量表。：婴儿的首次评估显示，在姿势、协调、社交和语言等整体发育领域存在延迟，总体发育商（DQ）为 80.15。尽管在治疗后 Brunet-Lezine 量表中两组均观察到发育改善，但 MANCOVA 检验显示无显著差异（F(5) = 0.82， = 0.506，eta = 0.09）。颅骨头盔组在最终评估时 CVAI 降至 4.07%，物理治疗组降至 5.85%，两种治疗方法之间无显著差异（ = 0.70）。：CHT 和 PT 之间未发现统计学上的显著差异。治疗后，在颅骨畸形的每一次读数中都观察到从基线测量值的改善。
