Deformational brachycephaly in supine-sleeping infants
Medical dictionaries and anthropologic sources define brachycephaly as a cranial index (CI = width divided by length × 100%) greater than 81%. We examine the impact of supine sleeping on CI and compare orthotic treatment with repositioning. We compared the effect of repositioning versus helmet thera...
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| Veröffentlicht in: | The Journal of pediatrics 2005-02, Vol.146 (2), p.253-257 |
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| container_title | The Journal of pediatrics |
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| creator | Graham, John M. Kreutzman, Jeannie Earl, Dawn Halberg, Andy Samayoa, Carlos Guo, Xiuqing |
| description | Medical dictionaries and anthropologic sources define brachycephaly as a cranial index (CI
=
width divided by length × 100%) greater than 81%. We examine the impact of supine sleeping on CI and compare orthotic treatment with repositioning.
We compared the effect of repositioning versus helmet therapy on CI in 193 infants referred for abnormal head shape.
Eighty percent of the infants had a pretreatment CI
>
81%. Their initial mean CI at mean age 5.3 months was 89%, and after treatment, their mean CI was 87% (±2 SE
=
0.9%) at mean age 9.0 months. For 92 infants with an initial CI at or above 90%, their initial mean CI of 96.1% was reduced to a mean of 91.9%.
Post-treatment CI was 86% to 88%, CI in neonates delivered by cesarean section was 80%, and CI in supine-sleeping Asian children was 85% to 91%, versus 78% to 83% for prone-sleeping American children. Repositioning was less effective than cranial orthotic therapy in correcting severe brachycephaly. We recommend varying the head position when putting infants to sleep. |
| doi_str_mv | 10.1016/j.jpeds.2004.10.017 |
| format | Article |
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=
width divided by length × 100%) greater than 81%. We examine the impact of supine sleeping on CI and compare orthotic treatment with repositioning.
We compared the effect of repositioning versus helmet therapy on CI in 193 infants referred for abnormal head shape.
Eighty percent of the infants had a pretreatment CI
>
81%. Their initial mean CI at mean age 5.3 months was 89%, and after treatment, their mean CI was 87% (±2 SE
=
0.9%) at mean age 9.0 months. For 92 infants with an initial CI at or above 90%, their initial mean CI of 96.1% was reduced to a mean of 91.9%.
Post-treatment CI was 86% to 88%, CI in neonates delivered by cesarean section was 80%, and CI in supine-sleeping Asian children was 85% to 91%, versus 78% to 83% for prone-sleeping American children. Repositioning was less effective than cranial orthotic therapy in correcting severe brachycephaly. We recommend varying the head position when putting infants to sleep.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2004.10.017</identifier><identifier>PMID: 15689919</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biological and medical sciences ; Female ; General aspects ; Head Protective Devices ; Humans ; Infant ; Longitudinal Studies ; Male ; Medical sciences ; Plagiocephaly, Nonsynostotic - physiopathology ; Plagiocephaly, Nonsynostotic - therapy ; Skull - abnormalities ; Sleep - physiology ; Supine Position - physiology ; Treatment Outcome</subject><ispartof>The Journal of pediatrics, 2005-02, Vol.146 (2), p.253-257</ispartof><rights>2005 Elsevier Inc.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-179ff5667e2214392613aea6dfbfea3e3fc033d8ce3c0b5b08663b042693c2b53</citedby><cites>FETCH-LOGICAL-c432t-179ff5667e2214392613aea6dfbfea3e3fc033d8ce3c0b5b08663b042693c2b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2004.10.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16483953$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15689919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graham, John M.</creatorcontrib><creatorcontrib>Kreutzman, Jeannie</creatorcontrib><creatorcontrib>Earl, Dawn</creatorcontrib><creatorcontrib>Halberg, Andy</creatorcontrib><creatorcontrib>Samayoa, Carlos</creatorcontrib><creatorcontrib>Guo, Xiuqing</creatorcontrib><title>Deformational brachycephaly in supine-sleeping infants</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Medical dictionaries and anthropologic sources define brachycephaly as a cranial index (CI
=
width divided by length × 100%) greater than 81%. We examine the impact of supine sleeping on CI and compare orthotic treatment with repositioning.
We compared the effect of repositioning versus helmet therapy on CI in 193 infants referred for abnormal head shape.
Eighty percent of the infants had a pretreatment CI
>
81%. Their initial mean CI at mean age 5.3 months was 89%, and after treatment, their mean CI was 87% (±2 SE
=
0.9%) at mean age 9.0 months. For 92 infants with an initial CI at or above 90%, their initial mean CI of 96.1% was reduced to a mean of 91.9%.
Post-treatment CI was 86% to 88%, CI in neonates delivered by cesarean section was 80%, and CI in supine-sleeping Asian children was 85% to 91%, versus 78% to 83% for prone-sleeping American children. Repositioning was less effective than cranial orthotic therapy in correcting severe brachycephaly. We recommend varying the head position when putting infants to sleep.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>General aspects</subject><subject>Head Protective Devices</subject><subject>Humans</subject><subject>Infant</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Plagiocephaly, Nonsynostotic - physiopathology</subject><subject>Plagiocephaly, Nonsynostotic - therapy</subject><subject>Skull - abnormalities</subject><subject>Sleep - physiology</subject><subject>Supine Position - physiology</subject><subject>Treatment Outcome</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AkF60Vvq7E6yyR48SP2Eghc9L5vNrN2SJnE3FfrvTW3Bm6cZXp53GB7GLjnMOHB5u5qtOqriTACkQzIDnh-xMQeVJ7JAPGZjACESTHM5YmcxrgBApQCnbMQzWSjF1ZjJB3JtWJvet42pp2Uwdrm11C1NvZ36Zho3nW8oiTXRsHwOkTNNH8_ZiTN1pIvDnLCPp8f3-UuyeHt-nd8vEpui6BOeK-cyKXMSgqeohORoyMjKlY4MEjoLiFVhCS2UWQmFlFhCKqRCK8oMJ-xmf7cL7deGYq_XPlqqa9NQu4la5qgKnu9A3IM2tDEGcroLfm3CVnPQO116pX916Z2uXTjoGlpXh_Obck3VX-fgZwCuD4CJ1tQumMb6-MfJtECV4cDd7TkaZHx7CjpaT42lygeyva5a_-8jP1kGiT4</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>Graham, John M.</creator><creator>Kreutzman, Jeannie</creator><creator>Earl, Dawn</creator><creator>Halberg, Andy</creator><creator>Samayoa, Carlos</creator><creator>Guo, Xiuqing</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>20050201</creationdate><title>Deformational brachycephaly in supine-sleeping infants</title><author>Graham, John M. ; Kreutzman, Jeannie ; Earl, Dawn ; Halberg, Andy ; Samayoa, Carlos ; Guo, Xiuqing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-179ff5667e2214392613aea6dfbfea3e3fc033d8ce3c0b5b08663b042693c2b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>General aspects</topic><topic>Head Protective Devices</topic><topic>Humans</topic><topic>Infant</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Plagiocephaly, Nonsynostotic - physiopathology</topic><topic>Plagiocephaly, Nonsynostotic - therapy</topic><topic>Skull - abnormalities</topic><topic>Sleep - physiology</topic><topic>Supine Position - physiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graham, John M.</creatorcontrib><creatorcontrib>Kreutzman, Jeannie</creatorcontrib><creatorcontrib>Earl, Dawn</creatorcontrib><creatorcontrib>Halberg, Andy</creatorcontrib><creatorcontrib>Samayoa, Carlos</creatorcontrib><creatorcontrib>Guo, Xiuqing</creatorcontrib><collection>Pascal-Francis</collection><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>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graham, John M.</au><au>Kreutzman, Jeannie</au><au>Earl, Dawn</au><au>Halberg, Andy</au><au>Samayoa, Carlos</au><au>Guo, Xiuqing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deformational brachycephaly in supine-sleeping infants</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>146</volume><issue>2</issue><spage>253</spage><epage>257</epage><pages>253-257</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Medical dictionaries and anthropologic sources define brachycephaly as a cranial index (CI
=
width divided by length × 100%) greater than 81%. We examine the impact of supine sleeping on CI and compare orthotic treatment with repositioning.
We compared the effect of repositioning versus helmet therapy on CI in 193 infants referred for abnormal head shape.
Eighty percent of the infants had a pretreatment CI
>
81%. Their initial mean CI at mean age 5.3 months was 89%, and after treatment, their mean CI was 87% (±2 SE
=
0.9%) at mean age 9.0 months. For 92 infants with an initial CI at or above 90%, their initial mean CI of 96.1% was reduced to a mean of 91.9%.
Post-treatment CI was 86% to 88%, CI in neonates delivered by cesarean section was 80%, and CI in supine-sleeping Asian children was 85% to 91%, versus 78% to 83% for prone-sleeping American children. Repositioning was less effective than cranial orthotic therapy in correcting severe brachycephaly. We recommend varying the head position when putting infants to sleep.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>15689919</pmid><doi>10.1016/j.jpeds.2004.10.017</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of pediatrics, 2005-02, Vol.146 (2), p.253-257 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Female General aspects Head Protective Devices Humans Infant Longitudinal Studies Male Medical sciences Plagiocephaly, Nonsynostotic - physiopathology Plagiocephaly, Nonsynostotic - therapy Skull - abnormalities Sleep - physiology Supine Position - physiology Treatment Outcome |
| title | Deformational brachycephaly in supine-sleeping infants |
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