Therapeutic efficacy of individual head orthoses in infants with positional plagiocephaly.

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2025-06-12 DOI:10.1007/s00056-025-00594-x

Sachin Chhatwani, Caterina Degener, Lucija Rako, Christian Kirschneck, Stephan Christian Möhlhenrich, Gholamreza Danesh, Matthias Kelker

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引用次数: 0

Abstract

Purpose: Regarding the therapy for positional plagiocephaly, a distinction is made between physiotherapeutic-osteopathic treatment and treatment using individual head orthoses. This retrospective study aimed to compare the outcome of these treatment modalities for correcting positional plagiocephaly in infants.

Methods: From an initial pool of 148 patients, two groups were matched based on age, sex, and Argenta classification. Therapy was either helmet therapy in combination with physiotherapeutic-osteopathic therapy (experimental group/95 patients) or physical therapy alone (control group/28 patients). The helmet was worn 23 h per day and adjusted if necessary. A photo-optical scan was performed pretherapeutically (T0) and posttherapeutically (T1). Besides other parameters, cephalic index (CI) and 30° diagonal difference (DD) were assessed and evaluated statistically. The mean age was 5.4 ± 1.1 months in the experimental group and 5.1 ± 1.0 months in the control group. The sex ratio in the experimental group was 61 males (64.2%) to 34 females (35.8%), and in the control group, it was 19 males (67.9%) to 9 females (32.1%).

Results: After alignment of the groups, the range of correction of DD in the control group (-0.4 mm ± 2.3 mm) was lower than that in the experimental group (-4.8 mm ± 2.8 mm) which was statistically significant (p = 0.001). The control group presented an average CI reduction from T0 to T1 of 0.1% ± 2.1%, while the experimental group showed a significantly higher reduction of CI of 3.6% ± 3.6% (p < 0.001). Treatment time in the helmet therapy group averaged 2.2 ± 0.6 months, and in the control group, it averaged 1.6 ± 0.5 months (p < 0.001).

Conclusions: In the matched groups, the reduction in CI and DD was significantly greater in the experimental group compared to the control group. Treatment with an individual head orthosis for positional plagiocephaly appears to be more effective than physical treatment alone.

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个体化头部矫形器对婴儿位置性斜头畸形的治疗效果。

目的：关于位置性斜头畸形的治疗，区分了物理治疗-整骨疗法和使用个体头部矫形器的治疗。本回顾性研究的目的是比较这些治疗方式纠正婴儿位置性斜头畸形的结果。方法：从148例患者的初始池中，根据年龄、性别和阿根廷分类匹配两组。治疗方法为头盔治疗联合物理整骨疗法（实验组/95例）或单独物理治疗（对照组/28例）。头盔每天佩戴23 h，必要时进行调整。治疗前（T0）和治疗后（T1）分别进行光光学扫描。除其他参数外，评估头侧指数（CI）和30°对角差（DD），并进行统计学评价。实验组平均年龄5.4 ±1.1个月，对照组平均年龄5.1 ±1.0个月。试验组男性61例（64.2%）：女性34例（35.8%），对照组男性19例（67.9%）：女性9例（32.1%）。结果：组对线后，对照组的DD矫正幅度（-0.4 mm ±2.3 mm）低于实验组（-4.8 mm ±2.8 mm），差异有统计学意义（p = 0.001）。从T0到T1，对照组CI平均下降0.1% ±2.1%，而实验组CI下降3.6% ±3.6% （p ），显著高于对照组。结论：在配对组中，实验组CI和DD的下降明显大于对照组。使用单个头部矫形器治疗位置性斜头畸形似乎比单纯的物理治疗更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie 医学-牙科与口腔外科

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Orofacial Orthopedics provides orthodontists and dentists who are also actively interested in orthodontics, whether in university clinics or private practice, with highly authoritative and up-to-date information based on experimental and clinical research. The journal is one of the leading publications for the promulgation of the results of original work both in the areas of scientific and clinical orthodontics and related areas. All articles undergo peer review before publication. The German Society of Orthodontics (DGKFO) also publishes in the journal important communications, statements and announcements.