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Effects of Initial Age and Severity on Cranial Remolding Orthotic Treatment for Infants with Deformational

Tiffany Graham1, Beverley Adams-Huet2, Nicole Gilbert3

  • 1Health Care Sciences, Prosthetics-Orthotics Program, University of Texas Southwestern Medical Center, 6011 Harry Hines Blvd, Dallas, TX 75390-9091, USA. Tiffany.Graham@UTsouthwestern.edu.

Journal of Clinical Medicine
|July 27, 2019
PubMed

Insights

Younger infants and those with less severe deformational plagiocephaly achieve better outcomes with cranial remolding orthotic (CRO) treatment. Early intervention leads to shorter treatment times and reduced residual head shape deformation.

Area of Science:

  • Pediatric orthopedics
  • Neurosurgery
  • Developmental pediatrics

Background:

  • Deformational plagiocephaly is a common condition in infants.
  • Cranial remolding orthotic (CRO) treatment is a standard intervention.
  • Factors influencing CRO treatment outcomes require further investigation.

Purpose of the Study:

  • To evaluate the impact of infant age and deformity severity on CRO treatment effectiveness.
  • To analyze treatment duration and residual head shape asymmetry.
  • To inform clinical decision-making regarding optimal timing for CRO intervention.

Main Methods:

  • Retrospective chart review of 499 infants with non-synostotic plagiocephaly.
  • Data collection included age at treatment initiation, head shape measurements, and treatment duration.
  • Infants were stratified into subgroups based on age and severity at presentation.

Main Results:

  • Treatment duration statistically increased with higher initial severity and older age at presentation.
  • Greater residual head shape deformation was observed in older or more severe subgroups post-treatment.
  • Younger infants and those with less severe deformities experienced shorter treatment durations and better outcomes.

Conclusions:

  • Earlier initiation of CRO treatment for deformational plagiocephaly is associated with improved outcomes.
  • Less severe deformities at presentation correlate with shorter treatment durations and reduced residual asymmetry.
  • Clinical strategies should prioritize early intervention for optimal CRO treatment results.

Keywords:
cranial flatteningcranial orthosiscranial vault asymmetry (CVA)cranial vault asymmetry index (CVAI)deformational plagiocephalyflat head syndromeorthotic devicesplagiocephalytreatment outcomes

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