Graham Tiffany, Wang Jijia, Calderon Fabian A, Moses Victoria, Hallac Rami R
Department of Prosthetics-Orthotics, University of Texas Southwestern Medical Center, 6011 Harry Hines Blvd, Dallas, TX 75390, USA.
Department of Applied Clinical Research, University of Texas Southwestern Medical Center, 6011 Harry Hines Blvd, Dallas, TX 75390, USA.
J Clin Med. 2024 Dec 17;13(24):7689. doi: 10.3390/jcm13247689.
The surge in deformational head shapes (DHSs) over the past 30 years has led to increased interest in comparing the treatment options of Repositioning Therapy (RT) and a Cranial Remolding Orthosis (CRO). This study investigates the amount and rate of 2D and 3D correction in infants with DHSs during these treatments. A total of 34 infants with DHSs were enrolled (RT group, = 18; CRO group, = 16). Infants were discharged after achieving correction or reaching 12 months of age. Two-dimensional scan/caliper measurements and three-dimensional scan measurements were collected at treatment initiation and conclusion (or 12 months of age). Asymmetric infants in the RT group averaged a 2dCVAI reduction of 3.59 ± 1.57 and 3dCVAI correction of 12.17 ± 13.02 versus 4.44 ± 2.99 and 21.72 ± 15.36 correction in the CRO group (2d = 0.6656; 3d = 0.1417). Disproportionate infants in the RT group averaged a 2dCI reduction of 3.13% ± 2.57% and 3dCI reduction of 24.53 ± 24.01 while the CRO group averaged 5.21% ± 2.78% and 55.98 ± 25.77 (2d = 0.0383*; 3d = 0.0254*). Asymmetrical RT mean 2dCVAI weekly change was 0.21 ± 0.15 while CRO was 0.23 ± 0.17 ( = 0.7796). The 3dCVAI weekly change was 1.05 ± 1.55 in the RT group versus 1.17 ± 0.95 in the CRO group ( = 0.4328). Disproportionate RT mean 2dCI weekly change was 0.12 ± 0.11 while CRO was 0.23 ± 0.11 ( = 0.0440*). The 3dCI weekly change was 0.87 ± 0.91 in the RT group versus 3.02 ± 2.16 in the CRO group ( = 0.0143*). Results indicate that CRO treatment achieves greater total correction and rate of correction. Statistical significance was found in the treatment of disproportional DHSs, but further investigation is needed with a larger sample size.
在过去30年中，变形头型（DHSs）的激增使得人们对比较重新定位疗法（RT）和颅骨重塑矫形器（CRO）的治疗方案兴趣大增。本研究调查了患有DHSs的婴儿在这些治疗过程中二维和三维矫正的量及速率。总共招募了34名患有DHSs的婴儿（RT组，n = 18；CRO组，n = 16）。婴儿在达到矫正或满12个月大时出院。在治疗开始和结束时（或12个月大时）收集二维扫描/卡尺测量值和三维扫描测量值。RT组中不对称婴儿的二维颅面不对称指数（2dCVAI）平均降低3.59±1.57，三维颅面不对称指数（3dCVAI）矫正为12.17±13.02，而CRO组分别为4.44±2.99和21.72±15.36（二维：P = 0.6656；三维：P = 0.1417）。RT组中比例失调婴儿的二维颅面指数（2dCI）平均降低3.13%±2.57%，三维颅面指数（3dCI）降低24.53±24.01，而CRO组分别为5.21%±2.78%和55.98±25.77（二维：P = 0.0383*；三维：P = 0.0254*）。不对称RT组的二维CVAI每周平均变化为0.21±0.15，而CRO组为0.23±0.17（P = 0.7796）。RT组的三维CVAI每周变化为1.05±1.55，而CRO组为1.17±0.95（P = 0.4328）。比例失调RT组的二维CI每周平均变化为0.12±0.11，而CRO组为0.23±0.11（P = 0.0440*）。RT组的三维CI每周变化为0.87±0.91，而CRO组为3.02±2.16（P = 0.0143*）。结果表明，CRO治疗实现了更大的总体矫正量和矫正速率。在治疗比例失调的DHSs方面发现了统计学意义，但需要更大样本量进行进一步研究。
