[Multidisciplinary approach to treatment of positional cranial asymmetry in infants]
- PMID: 39158626
- DOI: 10.1007/s00132-024-04533-3
[Multidisciplinary approach to treatment of positional cranial asymmetry in infants]
Abstract
The prevalence of positional cranial asymmetry has significantly increased since the introduction of the "Back to Sleep" campaign. Some deformities require therapeutic measures, such as growth-guiding head prostheses. The diagnosis is based on the clinical features, a thorough clinical examination and measurement of the infant's head. Prevention includes early education of parents about alternative positioning methods. Early interventions such as positioning therapy and physiotherapy can be effective in mild cases. In severe cases, the use of growth-guiding orthoses is necessary. The treatment and timing are crucial as head growth is highest in the first year of life. Helmet treatment should be started early to achieve optimal results in order to achieve an improvement in the head shape and ear position. Multidisciplinary approaches including physiotherapy and osteopathy are essential.
Die Prävalenz lagebedingter Schädelasymmetrien hat seit der Einführung der „Back to Sleep“-Kampagne deutlich zugenommen. Einige Deformitäten erfordern therapeutische Maßnahmen wie wachstumslenkende Kopforthesen. Die Diagnose wird durch klinische Merkmale, sorgfältige klinischer Untersuchung und Vermessung des Säuglingskopfes gestellt. Prävention umfasst eine frühzeitige Aufklärung der Eltern über alternative Lagerungsmethoden. Frühzeitige Interventionen wie Lagerungstherapie und Physiotherapie können bei milden Fällen effektiv sein. Bei schweren Fällen ist der Einsatz von wachstumslenkenden Orthesen notwendig. Die Therapie und das Timing sind entscheidend, da das Kopfwachstum im ersten Lebensjahr am höchsten ist. Die Helmtherapie sollte frühzeitig begonnen werden, um optimale Ergebnisse zu erzielen, um eine Verbesserung der Kopfform und Ohrenstellung zu erreichen. Multidisziplinäre Ansätze einschließlich Physiotherapie und Osteopathie sind unerlässlich.
Keywords: Brachycephaly; Cranial deformities; Helmet treatment; Positional plagiocephaly; Tummy time.
© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
Similar articles
-
Physical Therapist Interventions for Infants With Nonsynostotic Positional Head Deformities: A Systematic Review.Phys Ther. 2021 Aug 1;101(8):pzab106. doi: 10.1093/ptj/pzab106. Phys Ther. 2021. PMID: 33792712
-
Factors influencing outcomes of the treatment of positional plagiocephaly in infants: a 7-year experience.J Neurosurg Pediatr. 2017 Mar;19(3):273-281. doi: 10.3171/2016.9.PEDS16275. Epub 2017 Jan 13. J Neurosurg Pediatr. 2017. PMID: 28084921
-
Effect of helmet therapy in the treatment of positional head deformity.J Paediatr Child Health. 2020 May;56(5):735-741. doi: 10.1111/jpc.14717. Epub 2019 Dec 23. J Paediatr Child Health. 2020. PMID: 31868272
-
Safe Sleep, Plagiocephaly, and Brachycephaly: Assessment, Risks, Treatment, and When to Refer.Pediatr Ann. 2020 Oct 1;49(10):e440-e447. doi: 10.3928/19382359-20200922-02. Pediatr Ann. 2020. PMID: 33034660 Review.
-
[Positional plagiocephaly in infancy: diagnosis and management].Praxis (Bern 1994). 2013 Dec 11;102(25):1537-42. doi: 10.1024/1661-8157/a001506. Praxis (Bern 1994). 2013. PMID: 24326049 Review. German.
References
Literatur
-
- Gump WC, Mutchnick IS, Moriarty TM (2013) Complications associated with molding helmet therapy for positional plagiocephaly: a review. Neurosurg Focus 35:E3. https://doi.org/10.3171/2013.5.FOCUS13224 - DOI - PubMed
-
- Park KE, Chandler L, Ahmad M, Singh A, Allam O, Mets E et al (2023) Neurocognitive Outcomes in Deformational Plagiocephaly: Is There an Association between Morphologic Severity and Results? Plast Reconstr Surg 152:488e–498e. https://doi.org/10.1097/PRS.0000000000010330 - DOI - PubMed
-
- van Cruchten C, Feijen MMW, van der Hulst RRWJ (2022) Helmet therapy for positional cranial deformations; a 5-year follow-up study. J Craniomaxillofac Surg 50:499–503. https://doi.org/10.1016/j.jcms.2022.05.001 - DOI - PubMed
-
- Wolfswinkel EM, Sanchez-Lara PA, Jacob L, Urata MM (2021) Postoperative helmet therapy following fronto-orbital advancement and cranial vault remodeling in patients with unilateral coronal synostosis. Am J Med Genet A 185:2670–2675. https://doi.org/10.1002/ajmg.a.62256 - DOI - PubMed
-
- Picart T, Beuriat PA, Szathmari A, Di Rocco F, Mottolese C (2020) Positional cranial deformation in children: A plea for the efficacy of the cranial helmet in children. Neurochirurgie 66:102–109. https://doi.org/10.1016/j.neuchi.2019.10.011 - DOI - PubMed