Cranial molding helmet therapy and establishment of practical criteria for management in Asian infant positional head deformity
Background The growing number of infants with deformational plagiocephaly (DP) has raised clinical questions about which children, at what age, and how molding helmet therapy (MHT) should be performed especially in Japan. Methods A total of 1,011 Japanese pediatric head deformity infants had undergo...
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| Veröffentlicht in: | Child's nervous system 2014-09, Vol.30 (9), p.1499-1509 |
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| creator | Aihara, Yasuo Komatsu, Kana Dairoku, Hitoshi Kubo, Osami Hori, Tomokatsu Okada, Yoshikazu |
| description | Background
The growing number of infants with deformational plagiocephaly (DP) has raised clinical questions about which children, at what age, and how molding helmet therapy (MHT) should be performed especially in Japan.
Methods
A total of 1,011 Japanese pediatric head deformity infants had undergone MHT after being diagnosed with non-synostotic DP. Three ratios of left to right comparison (anterior, posterior, and overall) were created and analyzed comparing age of starting treatment, helmet wearing period, and severity of skull deformity before with after MHT.
Results
The averages of head symmetry ratios after treatment in all groups (for the occipital region) showed apparent improvement;
t
(930) = −60.86,
p
= 0.000. (
t
(932) = −57.8,
p
= 0.000.) In the “severe” deformation group, the earlier the treatment was started, the higher symmetry ratio recovery was obtained. Treatment was especially effective when started in 4-month-old infants. In contrast to the “severe” group, the “mild” deformation group showed that MHT was most effective if treatment started before 6 months of age. Again, the earlier the treatment was started, the higher symmetry ratio was achieved, but compared to the “severe” group, it had a modest effect when treatment was started in infants older than 8 months.
Conclusion
This is the first large-scale molding helmet study reporting the method and efficacy in Japanese infants. It demonstrated that despite the structural and physiological differences from infants of other races, molding helmet therapy is effective in Asian-born infants, provided that intervention timing and recognition conditions are met. |
| doi_str_mv | 10.1007/s00381-014-2471-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1555622668</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1555622668</sourcerecordid><originalsourceid>FETCH-LOGICAL-c480t-55f63c372f617c069de9464536689b40351d926c954eb4c0f8b9ec158f6c50913</originalsourceid><addsrcrecordid>eNp9kDFv3CAYhlHVqLkk_QFdKsYuTj8wYDNGp6aJFKlLOyOMP-6IbOwCN3jqXy_ppR07AeJ5X-l9CPnA4JYBdJ8zQNuzBphouOhYs70hOybatoFWwluyAy5V04GAS3KV8zMAkz3X78glF1pJ1fMd-bVPNgY70XmZxhAP9IjTjIWWIya7btTGkWIudphCPs4YC108XZN1JbiacikUTMFSvyQ622gP-AcKkd7lYGO9eFvf65JDCUuskSPakY5YA3Mo2w258HbK-P71vCY_7r983z80T9--Pu7vnhoneiiNlF61ru24V6xzoPSIWighW6V6PYi6l42aK6elwEE48P2g0dW5XjkJmrXX5NO5d03Lz1NdZOaQHU6TjbicsmFSSsV5rasoO6MuLTkn9GZNYbZpMwzMi3dz9m6qd_Pi3Ww18_G1_jTMOP5L_BVdAX4Gcv2KB0zmeTml6iP_p_U3XyWPwg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1555622668</pqid></control><display><type>article</type><title>Cranial molding helmet therapy and establishment of practical criteria for management in Asian infant positional head deformity</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Aihara, Yasuo ; Komatsu, Kana ; Dairoku, Hitoshi ; Kubo, Osami ; Hori, Tomokatsu ; Okada, Yoshikazu</creator><creatorcontrib>Aihara, Yasuo ; Komatsu, Kana ; Dairoku, Hitoshi ; Kubo, Osami ; Hori, Tomokatsu ; Okada, Yoshikazu</creatorcontrib><description>Background
The growing number of infants with deformational plagiocephaly (DP) has raised clinical questions about which children, at what age, and how molding helmet therapy (MHT) should be performed especially in Japan.
Methods
A total of 1,011 Japanese pediatric head deformity infants had undergone MHT after being diagnosed with non-synostotic DP. Three ratios of left to right comparison (anterior, posterior, and overall) were created and analyzed comparing age of starting treatment, helmet wearing period, and severity of skull deformity before with after MHT.
Results
The averages of head symmetry ratios after treatment in all groups (for the occipital region) showed apparent improvement;
t
(930) = −60.86,
p
= 0.000. (
t
(932) = −57.8,
p
= 0.000.) In the “severe” deformation group, the earlier the treatment was started, the higher symmetry ratio recovery was obtained. Treatment was especially effective when started in 4-month-old infants. In contrast to the “severe” group, the “mild” deformation group showed that MHT was most effective if treatment started before 6 months of age. Again, the earlier the treatment was started, the higher symmetry ratio was achieved, but compared to the “severe” group, it had a modest effect when treatment was started in infants older than 8 months.
Conclusion
This is the first large-scale molding helmet study reporting the method and efficacy in Japanese infants. It demonstrated that despite the structural and physiological differences from infants of other races, molding helmet therapy is effective in Asian-born infants, provided that intervention timing and recognition conditions are met.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-014-2471-y</identifier><identifier>PMID: 24965682</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis of Variance ; Anoctamins ; Chloride Channels ; Craniosynostoses - therapy ; Disease Management ; Female ; Head Protective Devices - standards ; Humans ; Infant ; Japan ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Original Paper ; Orthotic Devices - standards ; Plagiocephaly, Nonsynostotic - therapy ; Retrospective Studies ; Surgery, Plastic - methods ; Treatment Outcome</subject><ispartof>Child's nervous system, 2014-09, Vol.30 (9), p.1499-1509</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-55f63c372f617c069de9464536689b40351d926c954eb4c0f8b9ec158f6c50913</citedby><cites>FETCH-LOGICAL-c480t-55f63c372f617c069de9464536689b40351d926c954eb4c0f8b9ec158f6c50913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-014-2471-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-014-2471-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24965682$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aihara, Yasuo</creatorcontrib><creatorcontrib>Komatsu, Kana</creatorcontrib><creatorcontrib>Dairoku, Hitoshi</creatorcontrib><creatorcontrib>Kubo, Osami</creatorcontrib><creatorcontrib>Hori, Tomokatsu</creatorcontrib><creatorcontrib>Okada, Yoshikazu</creatorcontrib><title>Cranial molding helmet therapy and establishment of practical criteria for management in Asian infant positional head deformity</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Background
The growing number of infants with deformational plagiocephaly (DP) has raised clinical questions about which children, at what age, and how molding helmet therapy (MHT) should be performed especially in Japan.
Methods
A total of 1,011 Japanese pediatric head deformity infants had undergone MHT after being diagnosed with non-synostotic DP. Three ratios of left to right comparison (anterior, posterior, and overall) were created and analyzed comparing age of starting treatment, helmet wearing period, and severity of skull deformity before with after MHT.
Results
The averages of head symmetry ratios after treatment in all groups (for the occipital region) showed apparent improvement;
t
(930) = −60.86,
p
= 0.000. (
t
(932) = −57.8,
p
= 0.000.) In the “severe” deformation group, the earlier the treatment was started, the higher symmetry ratio recovery was obtained. Treatment was especially effective when started in 4-month-old infants. In contrast to the “severe” group, the “mild” deformation group showed that MHT was most effective if treatment started before 6 months of age. Again, the earlier the treatment was started, the higher symmetry ratio was achieved, but compared to the “severe” group, it had a modest effect when treatment was started in infants older than 8 months.
Conclusion
This is the first large-scale molding helmet study reporting the method and efficacy in Japanese infants. It demonstrated that despite the structural and physiological differences from infants of other races, molding helmet therapy is effective in Asian-born infants, provided that intervention timing and recognition conditions are met.</description><subject>Analysis of Variance</subject><subject>Anoctamins</subject><subject>Chloride Channels</subject><subject>Craniosynostoses - therapy</subject><subject>Disease Management</subject><subject>Female</subject><subject>Head Protective Devices - standards</subject><subject>Humans</subject><subject>Infant</subject><subject>Japan</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Paper</subject><subject>Orthotic Devices - standards</subject><subject>Plagiocephaly, Nonsynostotic - therapy</subject><subject>Retrospective Studies</subject><subject>Surgery, Plastic - methods</subject><subject>Treatment Outcome</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDFv3CAYhlHVqLkk_QFdKsYuTj8wYDNGp6aJFKlLOyOMP-6IbOwCN3jqXy_ppR07AeJ5X-l9CPnA4JYBdJ8zQNuzBphouOhYs70hOybatoFWwluyAy5V04GAS3KV8zMAkz3X78glF1pJ1fMd-bVPNgY70XmZxhAP9IjTjIWWIya7btTGkWIudphCPs4YC108XZN1JbiacikUTMFSvyQ622gP-AcKkd7lYGO9eFvf65JDCUuskSPakY5YA3Mo2w258HbK-P71vCY_7r983z80T9--Pu7vnhoneiiNlF61ru24V6xzoPSIWighW6V6PYi6l42aK6elwEE48P2g0dW5XjkJmrXX5NO5d03Lz1NdZOaQHU6TjbicsmFSSsV5rasoO6MuLTkn9GZNYbZpMwzMi3dz9m6qd_Pi3Ww18_G1_jTMOP5L_BVdAX4Gcv2KB0zmeTml6iP_p_U3XyWPwg</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Aihara, Yasuo</creator><creator>Komatsu, Kana</creator><creator>Dairoku, Hitoshi</creator><creator>Kubo, Osami</creator><creator>Hori, Tomokatsu</creator><creator>Okada, Yoshikazu</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Cranial molding helmet therapy and establishment of practical criteria for management in Asian infant positional head deformity</title><author>Aihara, Yasuo ; Komatsu, Kana ; Dairoku, Hitoshi ; Kubo, Osami ; Hori, Tomokatsu ; Okada, Yoshikazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-55f63c372f617c069de9464536689b40351d926c954eb4c0f8b9ec158f6c50913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Analysis of Variance</topic><topic>Anoctamins</topic><topic>Chloride Channels</topic><topic>Craniosynostoses - therapy</topic><topic>Disease Management</topic><topic>Female</topic><topic>Head Protective Devices - standards</topic><topic>Humans</topic><topic>Infant</topic><topic>Japan</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Paper</topic><topic>Orthotic Devices - standards</topic><topic>Plagiocephaly, Nonsynostotic - therapy</topic><topic>Retrospective Studies</topic><topic>Surgery, Plastic - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aihara, Yasuo</creatorcontrib><creatorcontrib>Komatsu, Kana</creatorcontrib><creatorcontrib>Dairoku, Hitoshi</creatorcontrib><creatorcontrib>Kubo, Osami</creatorcontrib><creatorcontrib>Hori, Tomokatsu</creatorcontrib><creatorcontrib>Okada, Yoshikazu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aihara, Yasuo</au><au>Komatsu, Kana</au><au>Dairoku, Hitoshi</au><au>Kubo, Osami</au><au>Hori, Tomokatsu</au><au>Okada, Yoshikazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cranial molding helmet therapy and establishment of practical criteria for management in Asian infant positional head deformity</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>30</volume><issue>9</issue><spage>1499</spage><epage>1509</epage><pages>1499-1509</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Background
The growing number of infants with deformational plagiocephaly (DP) has raised clinical questions about which children, at what age, and how molding helmet therapy (MHT) should be performed especially in Japan.
Methods
A total of 1,011 Japanese pediatric head deformity infants had undergone MHT after being diagnosed with non-synostotic DP. Three ratios of left to right comparison (anterior, posterior, and overall) were created and analyzed comparing age of starting treatment, helmet wearing period, and severity of skull deformity before with after MHT.
Results
The averages of head symmetry ratios after treatment in all groups (for the occipital region) showed apparent improvement;
t
(930) = −60.86,
p
= 0.000. (
t
(932) = −57.8,
p
= 0.000.) In the “severe” deformation group, the earlier the treatment was started, the higher symmetry ratio recovery was obtained. Treatment was especially effective when started in 4-month-old infants. In contrast to the “severe” group, the “mild” deformation group showed that MHT was most effective if treatment started before 6 months of age. Again, the earlier the treatment was started, the higher symmetry ratio was achieved, but compared to the “severe” group, it had a modest effect when treatment was started in infants older than 8 months.
Conclusion
This is the first large-scale molding helmet study reporting the method and efficacy in Japanese infants. It demonstrated that despite the structural and physiological differences from infants of other races, molding helmet therapy is effective in Asian-born infants, provided that intervention timing and recognition conditions are met.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24965682</pmid><doi>10.1007/s00381-014-2471-y</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Analysis of Variance Anoctamins Chloride Channels Craniosynostoses - therapy Disease Management Female Head Protective Devices - standards Humans Infant Japan Longitudinal Studies Male Medicine Medicine & Public Health Neurosciences Neurosurgery Original Paper Orthotic Devices - standards Plagiocephaly, Nonsynostotic - therapy Retrospective Studies Surgery, Plastic - methods Treatment Outcome |
| title | Cranial molding helmet therapy and establishment of practical criteria for management in Asian infant positional head deformity |
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