Scheibl U, Mitterer J A
Ortho Scheibl, Praxis für Kinder- und Neuroorthopädie, Albertgasse 50/1, 1080, Wien, Österreich.
Michael-Ogon Labor für Orthopädische Forschung, Orthopädisches Spital Speising, Wien, Österreich.
Orthopadie (Heidelb). 2024 Sep;53(9):709-718. doi: 10.1007/s00132-024-04533-3. Epub 2024 Aug 19.
The prevalence of positional cranial asymmetry has significantly increased since the introduction of the "Back to Sleep" campaign. Some deformities require therapeutic measures, such as growth-guiding head prostheses. The diagnosis is based on the clinical features, a thorough clinical examination and measurement of the infant's head. Prevention includes early education of parents about alternative positioning methods. Early interventions such as positioning therapy and physiotherapy can be effective in mild cases. In severe cases, the use of growth-guiding orthoses is necessary. The treatment and timing are crucial as head growth is highest in the first year of life. Helmet treatment should be started early to achieve optimal results in order to achieve an improvement in the head shape and ear position. Multidisciplinary approaches including physiotherapy and osteopathy are essential.
自“仰卧睡眠”运动开展以来，体位性颅骨不对称的患病率显著增加。一些畸形需要采取治疗措施，如生长引导式头部假体。诊断基于临床特征、对婴儿头部进行全面的临床检查和测量。预防措施包括尽早对家长进行关于替代体位方法的教育。早期干预措施，如体位治疗和物理治疗，在轻度病例中可能有效。在严重病例中，有必要使用生长引导式矫形器。由于出生后第一年头部生长最为迅速，因此治疗方法和时机至关重要。应尽早开始头盔治疗以取得最佳效果，从而改善头型和耳部位置。包括物理治疗和整骨疗法在内的多学科方法至关重要。
