Choi Hyehoon, Lim Seong Hoon, Kim Joon Sung, Hong Bo Young
Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul 16247, Korea.
J Clin Med. 2020 Apr 19;9(4):1171. doi: 10.3390/jcm9041171.
Brachycephaly has several potential deleterious effects, including malocclusion, sleep apnea, and abnormal posture. Nevertheless, the research regarding helmet therapy as a treatment strategy for brachycephaly is limited. Herein, we aimed to analyze the factors influencing the effects of helmet therapy in infants with brachycephaly. We retrospectively reviewed the records of 207 infants aged 3-14 months with a cranial index (CI) >90% who received helmet therapy between May 2016 and October 2019 and complied with the treatment protocol well. We used a multiple regression analysis to determine which factors affected the duration of therapy and a Jonckheere-Terpstra test to establish differences in the duration of helmet therapy according to age and severity. We identified brachycephaly severity ( < 0.001), asymmetry ( < 0.001), and age ( < 0.001) as factors affecting the duration of therapy. Helmet therapy might be effective for infants with moderate to severe brachycephaly, assuming good protocol compliance. In addition, younger treatment initiation age and less severe and less asymmetric brachycephaly significantly shorten the treatment duration.
扁头畸形有几种潜在的有害影响，包括咬合不正、睡眠呼吸暂停和异常姿势。然而，关于头盔疗法作为扁头畸形治疗策略的研究有限。在此，我们旨在分析影响头盔疗法对扁头畸形婴儿治疗效果的因素。我们回顾性分析了2016年5月至2019年10月期间接受头盔疗法且颅骨指数（CI）>90%、年龄在3至14个月之间且严格遵守治疗方案的207例婴儿的记录。我们使用多元回归分析来确定哪些因素影响治疗持续时间，并使用琼克尔-特普斯特拉检验来确定根据年龄和严重程度头盔疗法持续时间的差异。我们确定扁头畸形严重程度（<0.001）、不对称性（<0.001）和年龄（<0.001）是影响治疗持续时间的因素。假设严格遵守方案，头盔疗法可能对中度至重度扁头畸形婴儿有效。此外，治疗开始年龄越小、扁头畸形严重程度越低且不对称性越小，治疗持续时间显著缩短。
