From: Evaluation of the Molding Helmet Therapy for Japanese Infants with Deformational Plagiocephaly
No.of Patients | (%) | |||
---|---|---|---|---|
Total patients who visited the clinic | 387 | 100% | ||
Normal skull | 6 | (1.6%) | ||
Pathological Conditions | 13 | (3.4%) | ||
Craniosynostosis (incl.susp) | 10 | (2.6%) | ||
Sagittal synostosis | 1 | (0.3%) | ||
Right coronal synostosis | 1 | (0.3%) | ||
Metopic synostosis | 1 | (0.3%) | ||
Bilateral almboid synostosis | 1 | (0.3%) | ||
Lost to follow up | 2 | (0.5%) | ||
Ruled out | 4 | (1.0%) | ||
Other head deformities | 4 | (1.0%) | ||
Macrocephaly | 1 | (0.3%) | ||
21 trisomy | 1 | (0.3%) | ||
Dolichocephaly due to transverse uterine position | 1 | (0.3%) | ||
Calcified Cephalohematoma | 1 | (0.3%) | ||
DP & DB | 366 | 100% | ||
Assoicated with comorbidities | 48 | (13.1%) | ||
Torticollis | 19 | (5.2%) | ||
Ear deformities (microtia, folded ear, crypt ear) | 11 | (3.0%) | ||
Cleft lip /palate | 4 | (1.1%) | ||
Calcified Cephalohematoma | 4 | (1.1%) | ||
Dolichocephaly due to breech position | 5 | (1.4%) | ||
Strabismus | 1 | (0.3%) | ||
Congenital nystagmus | 1 | (0.3%) | ||
Cerebral infarction | 1 | (0.3%) | ||
Atlantoaxial subluxation | 1 | (0.3%) | ||
Hemangioma | 1 | (0.3%) | ||
CHARGE Syndrome | 1 | (0.3%) | ||
Connective Tissue Disease with heart failure (unspecified) | 1 | (0.3%) | ||
Acetabular dysplasia | 1 | (0.3%) |
From: Evaluation of the Molding Helmet Therapy for Japanese Infants with Deformational Plagiocephaly
Outcomes | Classification | Definition | Before Helmet | (%) | After Helmet | (%) | p-value | |
---|---|---|---|---|---|---|---|---|
Argenta type | non-DP | 0 | 0.00% | 24 | (15.1%) | |||
I | 7 | (4.4%) | 51 | (32.1%) | ||||
II | 8 | (5.0%) | 50 | (31.4%) | ||||
III | 49 | (30.8%) | 15 | (9.4%) | ||||
IV | 69 | (43.4%) | 18 | (11.3%) | ||||
V | 15 | (9.4%) | 1 | (0.6%) | ||||
VI | 11 | (6.9%) | 0 | (0.0%) | ||||
average: type (SD) | 3.7 | (SD 1.1) | 1.7 | (SD 1.2) | p < 0.001 | |||
CA | normal | 0-4 | 0 | (0.0%) | 34 | (21.4%) | ||
mild | 5-9 | 7 | (4.4%) | 79 | (49.7%) | |||
moderate | 10-14 | 46 | (28.9%) | 74 | (46.5%) | |||
severe | 15-19 | 66 | (41.5%) | 6 | (3.8%) | |||
very severe | = > 20 | 40 | (25.2%) | 0 | (0.0%) | |||
average: CA (SD) | 16.3 | (SD 4.2) | 7.7 | (SD 3.5) | p <0.001 | |||
CVAI | normal | 0-4 | 2.0 | (1.3%) | 68.0 | (42.8%) | ||
mild | 5-6 | 3 | (1.9%) | 27 | (17.0%) | |||
moderate | 7-9 | 34 | (21.4%) | 59 | (37.1%) | |||
severe | 10-13 | 58 | (36.5%) | 5 | (3.1%) | |||
very severe | = > 14 | 62 | (39.0%) | 0 | (0.0%) | |||
average: CVAI (SD) | 12.9% | (SD 3.6) | 5.4% | (SD 2.4) | p < 0.001 | |||
CI | dolicho | = < 78 | 8 | (5.1%) | 7 | 4% | ||
meso | 79-94 | 70 | (44.3%) | 127 | 80% | |||
brachy | = > 95 | 4 | (46.8%) | 23 | 9% | |||
average: CI (SD) | 93.5 | (SD 8.3) | 88.7 | (SD 5.6) | p < 0.001 |
From: Evaluation of the Molding Helmet Therapy for Japanese Infants with Deformational Plagiocephaly
coefficient | standard error | p-value | ||
---|---|---|---|---|
intercept | 3.55 | 6.98 | 0.6125 | |
treatment period (week) | -0.40 | 0.08 | <.0001* | |
age (week) | 0.09 | 0.06 | 0.1086 | |
head circumference (mm) | 0.02 | 0.02 | 0.2389 | |
pre-Argenta | 1 | 0 | ||
2 | -0.55 | 2.03 | 0.7871 | |
3 | 2.06 | 1.60 | 0.1977 | |
4 | 2.32 | 1.57 | 0.1418 | |
5 | 1.71 | 1.80 | 0.3427 | |
treatment period (week) × pre-Argenta |
1 | 0 | ||
2 | -0.02 | 0.12 | 0.8612 | |
3 | 0.00 | 0.09 | 0.989 | |
4 | 0.05 | 0.08 | 0.5216 | |
5 | 0.10 | 0.09 | 0.2753 |