保守治疗对婴儿体位性斜头畸形的有效性：一项系统评价。
Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review.
作者信息
Blanco-Diaz Maria, Marcos-Alvarez Maria, Escobio-Prieto Isabel, De la Fuente-Costa Marta, Perez-Dominguez Borja, Pinero-Pinto Elena, Rodriguez-Rodriguez Alvaro Manuel
机构信息
Faculty of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, Spain.
Physical Therapy and Translational Research Group (FINTRA-RG), Institute of Health Research of the Principality of Asturias (ISPA), Faculty of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, Spain.
出版信息
Children (Basel). 2023 Jul 7;10(7):1184. doi: 10.3390/children10071184.
OBJECTIVE
The objective of this study is to analyze conservative treatments implemented to manage positional plagiocephaly in infants.
METHODS
This is a systematic review conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, performed in the Medline (PubMed), Scopus, Web of Science, and Cochrane databases. Articles were selected according to the eligibility criteria, regarding the effectiveness of conservative treatments in positional plagiocephaly in infants, published in the last 10 years with a score ≥3 in the PEDro Scale.
RESULTS
A total of 318 articles were identified and 9 of them were finally selected.
CONCLUSIONS
Physical therapy treatment is considered as the first line of intervention in plagiocephaly with non-synostotic asymmetries and manual therapy is the method that obtains the best results within this intervention. In cases of moderate or severe plagiocephaly, helmet therapy can be an effective second-line intervention; however, the best way to prevent this condition is through counseling of parents or caregivers, and early treatment is essential for optimal therapeutic outcomes. The review was registered in PROSPERO (CDR42022306466).
目的
本研究的目的是分析为管理婴儿体位性斜头畸形而实施的保守治疗方法。
方法
这是一项根据系统评价与Meta分析优先报告项目指南进行的系统评价，在Medline（PubMed）、Scopus、科学网和Cochrane数据库中开展。根据纳入标准选择文章，这些文章涉及过去10年发表的关于婴儿体位性斜头畸形保守治疗有效性且在PEDro量表中得分≥3的研究。
结果
共识别出318篇文章，最终选定9篇。
结论
物理治疗被视为非骨性融合性不对称斜头畸形的一线干预措施，手法治疗是该干预措施中取得最佳效果的方法。对于中度或重度斜头畸形病例，头盔治疗可以是一种有效的二线干预措施；然而，预防这种情况的最佳方法是对父母或照顾者进行咨询，早期治疗对于获得最佳治疗效果至关重要。该综述已在PROSPERO（CDR42022306466）上注册。
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