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Updated: May 15, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
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A prospective randomized trial on preventative methods for positional head deformity: physiotherapy versus a

Jan-Falco Wilbrand1, Maximilian Seidl, Martina Wilbrand

  • 1Department of Cranio-Maxillofacial Surgery, University Hospital Giessen, Giessen, Germany. jan-falco.wilbrand@uniklinikum-giessen.de

The Journal of Pediatrics
|January 15, 2013
PubMed
Summary

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Both bedding pillows and stretching exercises improve positional head deformities in infants. Bedding pillows showed slightly greater improvement for combined plagiocephaly and brachycephaly.

Area of Science:

  • Pediatric orthopedics
  • Craniofacial abnormalities

Background:

  • Positional head deformities are common in infants.
  • Early intervention is crucial for optimal outcomes.

Purpose of the Study:

  • To compare the effectiveness of bedding pillows versus stretching exercises for treating positional head deformities in infants.

Main Methods:

  • A prospective clinical trial included 50 infants (≤5 months) with plagiocephaly, brachycephaly, or combined deformities.
  • Infants were randomized to receive either bedding pillows or stretching exercises for 6 weeks.
  • Cranial vault asymmetry index (CVAI) and cranial index (CI) were measured before and after treatment.

Main Results:

  • Both interventions improved cranial deformities.

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  • Stretching exercises showed ΔCVAI of 2.09% (plagiocephaly) and 2.34% (combined).
  • Bedding pillows showed ΔCVAI of 3.01% (plagiocephaly) and 2.86% (combined).
  • Stretching exercises showed ΔCI of 0.94% (brachycephaly) and 2.24% (combined).
  • Bedding pillows showed ΔCI of 3.63% (brachycephaly) and 3.23% (combined).

    • Conclusions:

    • Both bedding pillows and stretching exercises are effective treatments for positional cranial deformation.
    • Bedding pillows demonstrated a slightly greater improvement in cranial asymmetry for combined deformities.