Comparison of Helmet Therapy and Counter Positioning for Deformational Plagiocephaly.
10.5535/arm.2013.37.6.785
- Author:
Se Yon KIM
1
;
Moon Sung PARK
;
Jeong In YANG
;
Shin Young YIM
Author Information
1. The Clinic for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Korea. syyim@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Deformational plagiocephaly;
Nonsynostotic plagiocephaly;
Patient positioning;
Cephalometry;
Facial asymmetry
- MeSH:
Cephalometry;
Child;
Ear;
Facial Asymmetry;
Head;
Head Protective Devices*;
Humans;
Patient Positioning;
Plagiocephaly, Nonsynostotic*;
Retrospective Studies
- From:Annals of Rehabilitation Medicine
2013;37(6):785-795
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To compare effectiveness on correcting cranial and ear asymmetry between helmet therapy and counter positioning for deformational plagiocephaly (DP). METHODS: Retrospective data of children diagnosed with DP who visited our clinic from November 2010 to October 2012 were reviewed. Subjects < or =10 months of age who showed > or =10 mm of diagonal difference were included for analysis. For DP treatment, information on both helmet therapy and counter positioning was given and either of the two was chosen by each family. Head circumference, cranial asymmetry measurements including diagonal difference, cranial vault asymmetry index, radial symmetry index, and ear shift were obtained by 3-dimensional head-surface laser scan at the time of initiation and termination of therapy. RESULTS: Twenty-seven subjects were included: 21 had helmet therapy and 6 underwent counter positioning. There was no significant difference of baseline characteristics, head circumferences and cranial asymmetry measurements at the initiation of therapy. The mean duration of therapy was 4.30+/-1.27 months in the helmet therapy group and 4.08+/-0.95 months in the counter positioning group (p=0.770). While cranial asymmetry measurements improved in both groups, significantly more improvement was observed with helmet therapy. There was no significant difference of the head circumference growth between the two groups at the end of therapy. CONCLUSION: Helmet therapy resulted in more favorable outcomes in correcting cranial and ear asymmetry than counter positioning on moderate to severe DP without compromising head growth.
