The aim of the present study was to evaluate whether any change can be expected in the 6-month period after completing treatment with a molding helmet for deformational plagiocephaly. A retrospective review of helmeted patients from a deformational plagiocephaly clinic from May 2010 to June 2011.
A total of 71 individuals with 6-month follow-up after completion of molding helmet treatment were identified. About 51 males and 20 females ranged in age from 2 to 10 months at initial treatment. The main outcome measure was the amount of change in head shape in the 6-month period following molding helmet therapy.
During the course of helmet treatment cephalic index and cranial vault asymmetry both decreased significantly (P < 0.001). Posthelmet follow-ups revealed a further decrease in cephalic index (P < 0.001). Although the cranial vault asymmetry decreased slightly between the final helmeting visit and the follow-up visit, this change was not statistically significant (P = 0.292). Controlling for other factors, continued normalization was not significantly related to helmeting duration.
Findings revealed both cephalic index and cranial vault asymmetry improved while in the helmet. During the 6 months following helmet treatment, cephalic index continued to improve; cranial vault asymmetry changed only insignificantly in this same period.
*Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St Louis, MO
†Orthotics & Prosthetics Lab, Inc, Webster Groves, MO.
Address correspondence and reprint requests to Sybill D. Naidoo, PhD, CPNP, 660 S Euclid, Campus Box 8238, St Louis, MO 63110; E-mail: firstname.lastname@example.org
Received 4 March, 2019
Accepted 24 March, 2019
Dr Naidoo is a speaker for Hanger Clinic and Orthomerica. Dr Patel is a speaker for Hanger Clinic and a consultant for Stryker.
The authors report no conflicts of interest.
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