Petz Alyssa M, Vallery Claire E, Richards Chelsea J, Gensch Hannah T, Yosef Matheos, Khalatbari Shokoufeh H, Frank Christopher J, Richards Jennifer A
Physical Medicine and Rehabilitation, University of Michigan Orthotics & Prosthetics Center, University of Michigan, Ann Arbor, MI, USA.
Biomechanics and Movement Science Program, University of Delaware, Newark, DE, USA.
Prosthet Orthot Int. 2024 Nov 5. doi: 10.1097/PXR.0000000000000388.
Cranial remolding orthoses are an effective treatment of deformational plagiocephaly. Typical treatment durations are well documented. However, treatment duration can be affected by multiple factors and may not be a true representation of the time necessary to achieve a successful clinical outcome.
This study compared the time to achieve a successful clinical outcome against the total treatment duration for cranial remolding orthosis therapy in infants with deformational plagiocephaly.
This is a retrospective study of infants treated for deformational plagiocephaly with a cranial remolding orthosis.
A total of 300 infants with deformational plagiocephaly who were treated with a cranial remolding orthosis were grouped by corrected age at initiation of treatment and by severity of deformity. A successful outcome was defined as achieving a final cranial vault asymmetry of 5 mm or less. For the 226 infants who achieved a successful outcome, time to successful outcome and treatment duration were compared between the groups.
The time to successful outcome depended on severity but not on age at initiation. The median time to successful outcome ranged from 6 weeks to 17.5 weeks, depending on the severity of the deformity. Time to successful outcome was significantly shorter than treatment duration for infants with an initial cranial vault asymmetry of less than 17 mm.
Current treatment durations for infants with moderate plagiocephaly may be longer than necessary. Estimated treatment time lines should be based on the initial severity of the infant's deformity.
颅骨重塑矫形器是治疗变形性斜头畸形的一种有效方法。典型的治疗持续时间已有充分记录。然而，治疗持续时间可能受多种因素影响，可能无法真实反映取得成功临床结果所需的时间。
本研究比较了变形性斜头畸形婴儿颅骨重塑矫形器治疗取得成功临床结果所需时间与总治疗持续时间。
这是一项对接受颅骨重塑矫形器治疗的变形性斜头畸形婴儿的回顾性研究。
总共300例接受颅骨重塑矫形器治疗的变形性斜头畸形婴儿按治疗开始时的矫正年龄和畸形严重程度分组。成功结果定义为最终颅骨穹窿不对称度达到或小于5毫米。对于226例取得成功结果的婴儿，比较了各组取得成功结果的时间和治疗持续时间。
取得成功结果的时间取决于畸形严重程度，而非治疗开始时的年龄。根据畸形严重程度，取得成功结果的中位时间为6周至17.5周不等。初始颅骨穹窿不对称度小于17毫米的婴儿，取得成功结果的时间明显短于治疗持续时间。
目前中度斜头畸形婴儿的治疗持续时间可能比必要时间更长。估计的治疗时间线应基于婴儿畸形的初始严重程度。
