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Published on: November 4, 2025
Positional cranial deformity--the parents' point of view
1Department of Oral and Maxillofacial Surgery, University Hospital Tübingen, Tübingen, Germany.
Parental satisfaction with helmet therapy for positional cranial deformities is high, but the therapy presents significant challenges. Many parents experience stress, and a notable percentage discontinue treatment due to issues like sweating and skin irritation.
Area of Science:
- Pediatrics
- Cranial Orthotics
Background:
- Positional cranial deformities are common in infants.
- Helmet therapy is a frequent treatment, but parental perspectives are understudied.
- Carer acceptance is crucial for successful therapeutic outcomes.
Purpose of the Study:
- To investigate parental perception of helmet therapy for positional cranial deformities.
- To assess caregiver satisfaction, treatment-associated problems, and parental stress.
- To inform clinical practice regarding helmet therapy indications and counseling.
Main Methods:
- A telephone survey was conducted with parents of 218 infants.
- Infants were categorized into two groups: those who underwent helmet therapy (122) and those who did not (96).
- A structured questionnaire assessed satisfaction, problems, and parental stress.
Main Results:
- High caregiver satisfaction (90.8%) with outcomes was reported, irrespective of helmet use.
- Significant parental strain was reported, with major issues including sweating (51.1%) and skin lacerations (30.9%).
- Treatment discontinuation or interruption occurred in 31.9% of infants receiving helmet therapy.
Conclusions:
- Helmet therapy for positional cranial deformities can impose considerable parental burden, including stress and financial strain.
- Medical professionals should critically evaluate the indication for helmet therapy and address potential parental challenges during consultations.
- Understanding and mitigating parental stress is essential for optimizing treatment adherence and overall therapeutic success.
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