Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly
Purpose The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly. Methods Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vaul...
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| Veröffentlicht in: | Child's nervous system 2017-08, Vol.33 (8), p.1349-1356 |
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| container_title | Child's nervous system |
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| creator | Han, Mi-hyang Kang, Jin Young Han, Hye Young Cho, Yun-hwa Jang, Dae-Hyun |
| description | Purpose
The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly.
Methods
Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vault asymmetry index (CVAI), age when starting therapy, duration of therapy, mean change of CVAI, improvement rate, and treatment success were analyzed. We compared outcomes according to the groups divided by ages starting therapy.
Results
There were no significant differences in improvement rate and duration of cranial-remolding-orthosis therapy among patients starting therapy at the age of 3, 4, and 5 months. However, when starting therapy after the age of 6 months, the rates of CVAI improvement were significantly lower and the duration of therapy was significantly increased.
Conclusion
Considering the spontaneous resolution effect according to the head growth nature, the age 5 month is the optimal period to start cranial-remolding-orthosis therapy for deformational plagiocephaly. |
| doi_str_mv | 10.1007/s00381-017-3427-9 |
| format | Article |
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The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly.
Methods
Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vault asymmetry index (CVAI), age when starting therapy, duration of therapy, mean change of CVAI, improvement rate, and treatment success were analyzed. We compared outcomes according to the groups divided by ages starting therapy.
Results
There were no significant differences in improvement rate and duration of cranial-remolding-orthosis therapy among patients starting therapy at the age of 3, 4, and 5 months. However, when starting therapy after the age of 6 months, the rates of CVAI improvement were significantly lower and the duration of therapy was significantly increased.
Conclusion
Considering the spontaneous resolution effect according to the head growth nature, the age 5 month is the optimal period to start cranial-remolding-orthosis therapy for deformational plagiocephaly.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-017-3427-9</identifier><identifier>PMID: 28484866</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bone Remodeling ; Craniotomy - methods ; Female ; Head Protective Devices ; Humans ; Infant ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Original Paper ; Orthotic Devices ; Plagiocephaly, Nonsynostotic - surgery ; Skull - growth & development ; Skull - surgery ; Treatment Outcome</subject><ispartof>Child's nervous system, 2017-08, Vol.33 (8), p.1349-1356</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-caea96a912e4cf9a699d1b60255030207a8ac2f914435dbf715f27da23dcb28a3</citedby><cites>FETCH-LOGICAL-c344t-caea96a912e4cf9a699d1b60255030207a8ac2f914435dbf715f27da23dcb28a3</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/s00381-017-3427-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-017-3427-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28484866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Mi-hyang</creatorcontrib><creatorcontrib>Kang, Jin Young</creatorcontrib><creatorcontrib>Han, Hye Young</creatorcontrib><creatorcontrib>Cho, Yun-hwa</creatorcontrib><creatorcontrib>Jang, Dae-Hyun</creatorcontrib><title>Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Purpose
The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly.
Methods
Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vault asymmetry index (CVAI), age when starting therapy, duration of therapy, mean change of CVAI, improvement rate, and treatment success were analyzed. We compared outcomes according to the groups divided by ages starting therapy.
Results
There were no significant differences in improvement rate and duration of cranial-remolding-orthosis therapy among patients starting therapy at the age of 3, 4, and 5 months. However, when starting therapy after the age of 6 months, the rates of CVAI improvement were significantly lower and the duration of therapy was significantly increased.
Conclusion
Considering the spontaneous resolution effect according to the head growth nature, the age 5 month is the optimal period to start cranial-remolding-orthosis therapy for deformational plagiocephaly.</description><subject>Bone Remodeling</subject><subject>Craniotomy - methods</subject><subject>Female</subject><subject>Head Protective Devices</subject><subject>Humans</subject><subject>Infant</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</subject><subject>Plagiocephaly, Nonsynostotic - surgery</subject><subject>Skull - growth & development</subject><subject>Skull - surgery</subject><subject>Treatment Outcome</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcuKVDEQDaI47egHuJEs3UTzuK8sZfAFA4LoOlTnVvpmyE2uSdqhv8MfNm2PLqUWtTiPos4h5KXgbwTn49vCuZoE42JkqpMj04_ITnRKMa56_pjsuOwHNvKOX5FnpdxxLvpJ6qfkSk5dm2HYkV9fMUD1KZbFb3SP9R4x0lIhVx8PFA5Ik6M2Q_QQWMY1hbkBLOW6pOILrQtm2E4U4kzRObTV_8SIpZx1NSPUFWOlPlK7-DDn5n7v60JndCmvf05DoFuAg08WtwXC6Tl54iAUfPGwr8n3D--_3Xxit18-fr55d8us6rrKLCDoAbSQ2FmnYdB6FvuhPd1zxSUfYQIrnRZdp_p570bROznOINVs93ICdU1eX3y3nH4csVSz-mIxBIiYjsWISQ_TpLkeGlVcqDanUjI6s2W_Qj4Zwc25C3PpwrQuzLkLo5vm1YP9cb_i_E_xN_xGkBdCaVA8YDZ36ZhbHOU_rr8B_0WY7A</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Han, Mi-hyang</creator><creator>Kang, Jin Young</creator><creator>Han, Hye Young</creator><creator>Cho, Yun-hwa</creator><creator>Jang, Dae-Hyun</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>20170801</creationdate><title>Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly</title><author>Han, Mi-hyang ; Kang, Jin Young ; Han, Hye Young ; Cho, Yun-hwa ; Jang, Dae-Hyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-caea96a912e4cf9a699d1b60255030207a8ac2f914435dbf715f27da23dcb28a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bone Remodeling</topic><topic>Craniotomy - methods</topic><topic>Female</topic><topic>Head Protective Devices</topic><topic>Humans</topic><topic>Infant</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</topic><topic>Plagiocephaly, Nonsynostotic - surgery</topic><topic>Skull - growth & development</topic><topic>Skull - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Mi-hyang</creatorcontrib><creatorcontrib>Kang, Jin Young</creatorcontrib><creatorcontrib>Han, Hye Young</creatorcontrib><creatorcontrib>Cho, Yun-hwa</creatorcontrib><creatorcontrib>Jang, Dae-Hyun</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>Han, Mi-hyang</au><au>Kang, Jin Young</au><au>Han, Hye Young</au><au>Cho, Yun-hwa</au><au>Jang, Dae-Hyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>33</volume><issue>8</issue><spage>1349</spage><epage>1356</epage><pages>1349-1356</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Purpose
The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly.
Methods
Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vault asymmetry index (CVAI), age when starting therapy, duration of therapy, mean change of CVAI, improvement rate, and treatment success were analyzed. We compared outcomes according to the groups divided by ages starting therapy.
Results
There were no significant differences in improvement rate and duration of cranial-remolding-orthosis therapy among patients starting therapy at the age of 3, 4, and 5 months. However, when starting therapy after the age of 6 months, the rates of CVAI improvement were significantly lower and the duration of therapy was significantly increased.
Conclusion
Considering the spontaneous resolution effect according to the head growth nature, the age 5 month is the optimal period to start cranial-remolding-orthosis therapy for deformational plagiocephaly.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28484866</pmid><doi>10.1007/s00381-017-3427-9</doi><tpages>8</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Bone Remodeling Craniotomy - methods Female Head Protective Devices Humans Infant Longitudinal Studies Male Medicine Medicine & Public Health Neurosciences Neurosurgery Original Paper Orthotic Devices Plagiocephaly, Nonsynostotic - surgery Skull - growth & development Skull - surgery Treatment Outcome |
| title | Relationship between starting age of cranial-remolding-orthosis therapy and effectiveness of treatment in children with deformational plagiocephaly |
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