A Clinical Photographic Method to Evaluate the Need for Helmet Therapy in Deformational Plagiocephaly

Cho, In Kook; Eom, Jeung Ryeol; Lee, Jeong Woo; Yang, Jung Dug; Chung, Ho Yun; Cho, Byung Chae; Choi, Kang Young

doi:10.1097/scs.0000000000004192

Cited by 9 publications

(16 citation statements)

References 24 publications

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“…The following anthropometric measurements were taken: maximal cranial circumference (MCC) (Martini et al, 2018); maximal cranial length (MCL): linear distance between glabella and opisthocranion; maximal cranial width (MCW): linear distance between the two euryon; diagonal cranial diameters (also called cranial diagonals) taken from the frontozygomatic suture to the contralateral lambdoid suture (Figures 1 and 2) [25]. From these data, the cranial vault asymmetry (CVA) (the difference between the cranial diagonal diameters) [32], the cephalic index (CI) and the CVAI were calculated. CI was calculated with the formula: cranial width/cranial length × 100 [33], while CVAI was calculated using the formula: cranial diagonal diameters difference/short diagonal diameter × 100 [23].…”

Section: Measurementsmentioning

confidence: 99%

“…Measurements were made in a consultation of a clinical physiotherapy center, maintaining adequate lighting conditions for the procedure and as close as possible to the clinical daily routine. The subjects were evaluated by two trained raters in anthropometric evaluation of infants with From these data, the cranial vault asymmetry (CVA) (the difference between the cranial diagonal diameters) [32], the cephalic index (CI) and the CVAI were calculated. CI was calculated with the formula: cranial width/cranial length × 100 [33], while CVAI was calculated using the formula: cranial diagonal diameters difference/short diagonal diameter × 100 [23].…”

Section: Measurementsmentioning

confidence: 99%

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Interrater and Intrarater Reliability of Cranial Anthropometric Measurements in Infants with Positional Plagiocephaly

Pastor-Pons¹,

Lucha-López

Barrau-Lalmolda³

et al. 2020

Children

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(1) Background: anthropometric measurements with calipers are used to objectify cranial asymmetry in positional plagiocephaly but there is controversy regarding the reliability of different methodologies. Purpose: to analyze the interrater and intrarater reliability of direct anthropometric measurements with caliper on defined craniofacial references in infants with positional plagiocephaly. (2) Methods: 62 subjects (<28 weeks), with a difference of at least 5 mm between cranial diagonal diameters. Maximal cranial circumference, length and width and diagonal cranial diameters were measured. Intrarater (2 measurements) and interrater (2 raters) reliability was analyzed. (3) Results: intra- and interrater reliability of the maximal cranial length and width and right cranial diagonal was excellent: intraclass correlation coefficient (ICC) > 0.9. Intrarater and interrater reliability for the left cranial diagonal was excellent: ICC > 0.9 and difference in agreement in the Bland-Altman plot 0.0 mm, respectively. Intrarater and interrater reliability for the maximal cranial circumference was good: differences in agreement in Bland-Altman plots: intra: −0.03 cm; inter: −0.12 cm. (4) Conclusions: anthropometric measurements in a sample of infants with moderate positional plagiocephaly have shown excellent intra- and interrater reliability for maximal cranial length, maximal cranial width, and right and left cranial diagonals, and good intra- and interrater reliability in maximal cranial circumference measurement.

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Section: Measurementsmentioning

confidence: 99%

Section: Measurementsmentioning

confidence: 99%

Interrater and Intrarater Reliability of Cranial Anthropometric Measurements in Infants with Positional Plagiocephaly

Pastor-Pons¹,

Lucha-López

Barrau-Lalmolda³

et al. 2020

Children

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“…Helmet treatment feasibility was evaluated using the cranial vault asymmetry (CVA), cranial vault asymmetry index (CVAI), anterior symmetry ratio (ASR), posterior symmetry ratio (PSR), and overall symmetry ratio (OSR) at baseline and at the end of treatment [17]. Two skull radiographs (anteroposterior and lateral) were examined to identify whether the cranial sutures were intact when plagiocephaly was clinically suspected, to exclude craniosynostosis.…”

Section: Methodsmentioning

confidence: 99%

The Effects of Helmet Therapy Relative to the Size of the Anterior Fontanelle in Nonsynostotic Plagiocephaly: A Retrospective Study

Kim

Lee

et al. 2019

JCM

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Helmet therapy is an important nonsurgical approach for patients with nonsynostotic plagiocephaly, but its effectiveness may depend on certain anatomical features. We retrospectively examined the effects of helmet therapy according to the size of the anterior fontanelle. Two hundred patients with nonsynostotic plagiocephaly who underwent helmet therapy between 2016 and 2018 were included. Data regarding age at treatment onset and treatment duration were collected. Patients were divided into two groups depending on the age at treatment initiation: the 12–23 weeks group and the >23 weeks group. Patients were also divided based on the anterior fontanelle size to analyze the effects of helmet therapy according to the severity of plagiocephaly in each group as the change in the cranial vault asymmetry index (CVAI). Therapeutic effects were evaluated using the cranial vault asymmetry (CVA), CVAI, anterior symmetry ratio, posterior symmetry ratio (PSR), and overall symmetry ratio at baseline and treatment completion. Treatment initiation at age 12–23 weeks resulted in better effects than that after age 24 weeks. There were no sex-dependent differences in therapeutic effects. Greater changes in the CVA, CVAI, and PSR were associated with larger anterior fontanelles. Therefore, the anterior fontanelle size could be a prognostic factor for estimating helmet therapy outcomes.

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“…Cranial vault asymmetry (CVA). The CVA was calculated with the formula: "Long diagonal cranial diameter (mm) -Short diagonal cranial diameter (mm)" [46]. According to Mortenson & Steinbok, the CVA can be classified into the following categories: normal CVA < 3 mm, mild / moderate CVA ≤ 12 mm, moderate / severe CVA > 12 mm [41].…”

Section: Measured Parametersmentioning

confidence: 99%

Efficacy of pediatric integrative manual therapy in positional plagiocephaly: a randomized controlled trial

et al. 2021

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Background Positional plagiocephaly frequently affects healthy babies. It is hypothesized that manual therapy tailored to pediatrics is more effective in improving plagiocephalic cranial asymmetry than just repositioning and sensory and motor stimulation. Methods Thirty-four neurologically healthy subjects aged less than 28 weeks old with a difference of at least 5 mm between cranial diagonal diameters were randomly distributed into 2 groups. For 10 weeks, the pediatric integrative manual therapy (PIMT) group received manual therapy plus a caregiver education program, while the controls received the same education program exclusively. Cranial shape was evaluated using anthropometry; cranial index (CI) and cranial vault asymmetry index (CVAI) were calculated. Parental perception of change was assessed using a visual analogue scale (− 10 cm to + 10 cm). Results CVAI presented a greater decrease in PIMT group: 3.72 ± 1.40% compared with 0.34 ± 1.72% in the control group (p = 0.000). CI did not present significant differences between groups. Manual therapy led to a more positive parental perception of cranial changes (manual therapy: 6.66 ± 2.07 cm; control: 4.25 ± 2.31 cm; p = 0.004). Conclusion Manual therapy plus a caregiver education program improved CVAI and led to parental satisfaction more effectively than solely a caregiver education program. Trial registration Trial registration number: NCT03659032; registration date: September 1, 2018. Retrospectively registered.

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A Clinical Photographic Method to Evaluate the Need for Helmet Therapy in Deformational Plagiocephaly

Cited by 9 publications

References 24 publications

Interrater and Intrarater Reliability of Cranial Anthropometric Measurements in Infants with Positional Plagiocephaly

Interrater and Intrarater Reliability of Cranial Anthropometric Measurements in Infants with Positional Plagiocephaly

The Effects of Helmet Therapy Relative to the Size of the Anterior Fontanelle in Nonsynostotic Plagiocephaly: A Retrospective Study

Efficacy of pediatric integrative manual therapy in positional plagiocephaly: a randomized controlled trial

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